Provider Demographics
NPI:1780942425
Name:SEIGLER, RICHARD
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:SEIGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 NW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-1520
Mailing Address - Country:US
Mailing Address - Phone:971-308-4587
Mailing Address - Fax:971-220-9883
Practice Address - Street 1:920 SW FRAZER AVE STE 102
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2800
Practice Address - Country:US
Practice Address - Phone:971-308-4587
Practice Address - Fax:971-220-9883
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60952315106H00000X
NV2605-R106H00000X
ORT1509106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist