Provider Demographics
NPI:1235199787
Name:MEAGHER, RICHARD F (MS, LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:MEAGHER
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-0031
Mailing Address - Country:US
Mailing Address - Phone:541-272-1612
Mailing Address - Fax:
Practice Address - Street 1:350 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3340
Practice Address - Country:US
Practice Address - Phone:541-272-1612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health