Provider Demographics
NPI:1982131736
Name:GERIG, ROB DEAN (MA COUNSELING)
Entity Type:Individual
Prefix:MR
First Name:ROB
Middle Name:DEAN
Last Name:GERIG
Suffix:
Gender:M
Credentials:MA COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6902 SE LAKE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97267-2148
Mailing Address - Country:US
Mailing Address - Phone:971-255-0658
Mailing Address - Fax:
Practice Address - Street 1:31700 FAYETTEVILLE DR
Practice Address - Street 2:
Practice Address - City:SHEDD
Practice Address - State:OR
Practice Address - Zip Code:97377-9779
Practice Address - Country:US
Practice Address - Phone:503-208-9004
Practice Address - Fax:541-258-7818
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health