MR. Robert Shane Rictor, CADC I, CRM

NPI #1528306271 in Keizer, Oregon

Provider Information

NPI Number
1528306271
Entity Type
Individual
Name
MR. Robert Shane Rictor, CADC I, CRM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADC I, CRM
Enumeration Date
Jan 30, 2013
Last Updated
May 1, 2013

Practice Location

Address
3793 RIVER RD N
City
Keizer
State
Oregon
ZIP Code
97303-4827
Phone
(503) 304-7002

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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