IndividualActive
Keenan Mccune, L.M.T., C.A.
NPI 1124318498 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1124318498
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L.M.T., C.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16130 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3644 Sw Troy St
Suite 200
Portland, OR 97219-1684
Phone: (503) 293-3001
Street-level locationGet directions
Mailing address
2409 Ne Mlk Blvd
Portland, OR 97212-3760
Registry dates
- Enumerated
- 2011-04-07
- Last updated
- 2011-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.