Keith, Nicole Marie

Keith, Nicole Marie is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7752. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Keith, Nicole Marie can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
2577 Ne Courtney Dr Bend OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R5203 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X C7715 Oregon

Profile Details

NPI number 1528598109
LBN Legal business name Keith, Nicole Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Aug 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers