Individual provider · Type 1 NPI
Jeremy Riddle, RH
Religious Nonmedical Practitioner · Gladstone, OR
NPI number
1811535834
Active
Practice location
455 Portland Ave
Gladstone, OR 97027-2452
Mailing address
PO Box 1002
Gladstone, OR 97027-3002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1811535834
Jeremy Riddle, RH's National Provider Identifier is 1811535834, issued on Dec 20, 2019. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Gladstone, OR. The record was last updated on Dec 20, 2019.