Mr Richard Lee Ruddell Jr, MA, LPC | |
1445 8th St, Florence, OR 97439-9351 | |
(541) 997-6261 | |
(541) 997-8606 |
Full Name | Mr Richard Lee Ruddell Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1445 8th St, Florence, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912159393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C3061 (Oregon) | Primary |
Entity Name | Options Counseling Services Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548275217 PECOS PAC ID: 1658674197 Enrollment ID: O20160215000168 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Lee Ruddell Jr, MA, LPC Po Box 429, Florence, OR 97439-0015 Ph: (541) 997-6261 | Mr Richard Lee Ruddell Jr, MA, LPC 1445 8th St, Florence, OR 97439-9351 Ph: (541) 997-6261 |
Mrs. Stephanie Lynn Evans-wondra, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 1220 34th Pl, Florence, OR 97439 Phone: 541-999-9154 | |
Brendan Macguire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4969 Highway 101 Unit 3, Florence, OR 97439 Phone: 541-393-0777 | |
Mr. Kenneth Wayne Loud, L.P.C., L.M.F.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 9th St, Florence, OR 97439 Phone: 541-997-7134 Fax: 541-902-7528 | |
Susan Montgomery, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 West 8th, Florence, OR 97439 Phone: 541-997-6261 | |
Jamye Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 West 8th, Florence, OR 97439 Phone: 541-997-6261 | |
Shelby Layne Houston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 8th St, Florence, OR 97439 Phone: 541-997-6261 Fax: 541-997-8606 | |
Dixie Beach, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 8th St, Florence, OR 97439 Phone: 541-997-6261 Fax: 541-997-8606 |