person
Roderick Edward Theis II, MSW,LCSW
Mental Health Counselor in Pendleton, Oregon
NPI 1780871236

Roderick Edward Theis II is a Mental Health Counselor based in Pendleton, OR and is specialized in Mental Health. Roderick Edward Theis II practices in Pendleton, OR and has the professional credentials of MSW,LCSW. The NPI Number for Roderick Edward Theis II is 1780871236 and holds a License No. L4084 (Oregon).

The current practice location address for Roderick Edward Theis II is 622 Airport Rd, Pendleton, OR and can be reached out via phone at 541-276-0057 and via fax at 541-276-1704. You can also correspond with Roderick Edward Theis II through the mailing address at 622 AIRPORT RD, PENDLETON, OR - 97801-4598 (mailing address contact number: 541-276-0057).

Location: 622 Airport Rd, Pendleton, OR, 97801-4598
person
Provider Profile Details
NPI Number
1780871236
Provider Name
Roderick Edward Theis II
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
622 Airport Rd, Pendleton, OR, 97801-4598
Phone Number
541-276-0057
Fax Number
541-276-1704
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L4084 01 OR STATE OF OREGON LICENSE
institution
Provider Business Practice Location Address Details
Address
622 Airport Rd
City
State
Zip
97801-4598
Phone Number
541-276-0057
Fax Number
541-276-1704
person
Provider Business Mailing Address Details
Address
622 Airport Rd
City
State
Zip
97801-4598
Phone Number
541-276-0057
Fax Number
541-276-1704
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
L4084 (Oregon)
Definition
Definition to come...
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