Provider Demographics
NPI:1205099306
Name:RIO COUNSELING, INC.
Entity type:Organization
Organization Name:RIO COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:OBERMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:503-816-2443
Mailing Address - Street 1:6950 SW HAMPTON ST
Mailing Address - Street 2:SUITE 319
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8329
Mailing Address - Country:US
Mailing Address - Phone:503-816-2443
Mailing Address - Fax:503-684-0620
Practice Address - Street 1:6950 SW HAMPTON ST
Practice Address - Street 2:SUITE 319
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-8329
Practice Address - Country:US
Practice Address - Phone:503-816-2443
Practice Address - Fax:503-684-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1476261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health