person
Mr. Robert Shane Rictor, CADCI,CRM
Addiction (Substance Use Disorder) Counselor in Keizer, Oregon
NPI 1528306271

Robert Shane Rictor is an Addiction (Substance Use Disorder) Counselor based in Keizer, OR and is specialized in Addiction (Substance Use Disorder). Robert Shane Rictor practices in Keizer, OR and has the professional credentials of CADCI,CRM. The NPI Number for Robert Shane Rictor is 1528306271 and holds a License No. 12-12-53 (Oregon).

The current practice location address for Robert Shane Rictor is 3793 River Rd N, Keizer, OR and can be reached out via phone at 503-304-7002 and via fax at 503-304-7049.

Location: 3793 River Rd N, Keizer, OR, 97303-4827
person
Provider Profile Details
NPI Number
1528306271
Provider Name
Robert Shane Rictor
Credential
CADCI,CRM
Provider Entity Type
Individual
Gender
Male
Address
3793 River Rd N, Keizer, OR, 97303-4827
Phone Number
503-304-7002
Fax Number
503-304-7049
Provider Enumeration Date
01/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500608214 05 OR
institution
Provider Business Practice Location Address Details
Address
3793 River Rd N
City
State
Zip
97303-4827
Phone Number
503-304-7002
Fax Number
503-304-7049
person
Provider Business Mailing Address Details
Address
3793 River Rd N
City
State
Zip
97303-4827
Phone Number
503-304-7002
Fax Number
503-304-7049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12-12-53 (Oregon)
Definition
Definition to come...
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