RODERICK EDWARD THEIS

PENDLETON, OR
NPI1780871236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L4084)
Enumeration Date2007-09-28
Last Update Date2007-09-28
Business Address
-- RODERICK EDWARD THEIS MSW, LCSW
622 AIRPORT RD
PENDLETON, OR 97801-4598
Phone number: 541-276-0057
Mailing Address
-- RODERICK EDWARD THEIS MSW, LCSW
622 AIRPORT RD
PENDLETON, OR 97801-4598
Phone number: 541-276-0057
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