Richardson, Rory Fleming
Richardson, Rory Fleming is an sole proprietor health care provider with primary practice located at 4466 Ne Devils Lake Blvd Suite A, Lincoln City OR 97367-5197. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Richardson, Rory Fleming can be contacted via phone (541) 994-4462.Contact Information
Primary practice address
4466 Ne Devils Lake Blvd Suite A
Lincoln City OR 97367-5197
Phone: (541) 994-4462
Fax: (541) 994-6329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0068 | Oregon |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1249 | Oregon |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1249 | Oregon |
Profile Details
| NPI number | 1629051776 |
|---|---|
| LBN Legal business name | Richardson, Rory Fleming |
| Credentials | PH.D., FICPPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 2nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629051776 | NPPES |
| Oregon | MEDICAID | 092951 | |
| Oregon | Other | R 7WBQ0 | |
| Oregon | Other | OR00543 | |
| Oregon | Other | 069078000 | |
| Oregon | Other | 171641 | |
| Oregon | MEDICAID | 150576 | |
| Oregon | Other | 090021822 |
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