Theis, Roderick Edward

Theis, Roderick Edward is an individual health care provider with primary practice located at 622 Airport Rd , Pendleton OR 97801-4598. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Theis, Roderick Edward can be contacted via phone (541) 276-0057.

Contact Information

Primary practice address
622 Airport Rd Pendleton OR 97801-4598
Phone: (541) 276-0057
Fax: (541) 276-1704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L4084 Oregon

Profile Details

NPI number 1780871236
LBN Legal business name Theis, Roderick Edward
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Sep 28th, 2007 - about 17 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 1780871236 NPPES
Oregon Other L4084 STATE OF OREGON LICENSE

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