Provider Demographics
NPI:1609278266
Name:HELSER, RHONDA
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:HELSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 SE 136TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-2803
Mailing Address - Country:US
Mailing Address - Phone:503-972-9533
Mailing Address - Fax:503-761-2801
Practice Address - Street 1:3910 SE STARK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-3241
Practice Address - Country:US
Practice Address - Phone:503-235-8655
Practice Address - Fax:503-231-1450
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12-12-26101YA0400X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)