Richardson, Rory Fleming

Richardson, Rory Fleming is an sole proprietor health care provider with primary practice located at 4466 Ne Devils Lake Blvd Suite A, Lincoln City OR 97367-5197. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Richardson, Rory Fleming can be contacted via phone (541) 994-4462.

Contact Information

Primary practice address
4466 Ne Devils Lake Blvd Suite A Lincoln City OR 97367-5197
Phone: (541) 994-4462
Fax: (541) 994-6329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C0068 Oregon
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1249 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1249 Oregon

Profile Details

NPI number 1629051776
LBN Legal business name Richardson, Rory Fleming
Credentials PH.D., FICPPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Mar 2nd, 2009 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629051776 NPPES
Oregon MEDICAID 092951
Oregon Other R 7WBQ0
Oregon Other OR00543
Oregon Other 069078000
Oregon Other 171641
Oregon MEDICAID 150576
Oregon Other 090021822

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