Roderick Edward Theis II, MSW, LCSW

NPI #1780871236 in Pendleton, Oregon

Provider Information

NPI Number: 1780871236
Entity Type: Individual
Name: Roderick Edward Theis II, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MSW, LCSW
Enumeration Date: Sep 28, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 622 AIRPORT RD
City: Pendleton
State: Oregon
ZIP Code: 97801-4598
Phone: (541) 276-0057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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