Individual provider · Type 1 NPI

Robert Shane Rictor, CADC I, CRM

Addiction (Substance Use Disorder) Counselor · Keizer, OR

NPI number 1528306271 Active

Practice location

3793 River Rd N
Keizer, OR 97303-4827

Call (503) 304-7002 Map

Fax (503) 304-7049

Mailing address

3793 River Rd N Ste A
Keizer, OR 97303-4827

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-12-53 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1528306271

Robert Shane Rictor, CADC I, CRM's National Provider Identifier is 1528306271, issued on Jan 30, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keizer, OR. The record was last updated on May 1, 2013.