| Roderick Edward Theis Ii, MSW, LCSW | |
|
622 Airport Rd, Pendleton, OR 97801-4598 | |
| (541) 276-0057 | |
| (541) 276-1704 |
| Full Name | Roderick Edward Theis Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 622 Airport Rd, Pendleton, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780871236 | NPI | - | NPPES |
| L4084 | Other | OR | STATE OF OREGON LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | L4084 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick Edward Theis Ii, MSW, LCSW 622 Airport Rd, Pendleton, OR 97801-4598 Ph: (541) 276-0057 | Roderick Edward Theis Ii, MSW, LCSW 622 Airport Rd, Pendleton, OR 97801-4598 Ph: (541) 276-0057 |
Carol Harshman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
Kristen Thompson-graber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Payton Jean Miller, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-278-6330 | |
James Perry Gourlie, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
Courtney Bingham, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-240-8030 | |
Joseph Dyer, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Diana Bingham, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 |