Provider Demographics
NPI:1265507032
Name:RILEY, RHONDA JEAN (MA)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JEAN
Last Name:RILEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N. FIRST, ST.
Mailing Address - Street 2:#101
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838
Mailing Address - Country:US
Mailing Address - Phone:541-564-8100
Mailing Address - Fax:541-564-8100
Practice Address - Street 1:405 N 1ST ST
Practice Address - Street 2:#101
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-1843
Practice Address - Country:US
Practice Address - Phone:541-564-8100
Practice Address - Fax:541-564-1030
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional