RODERICK EDWARD THEIS MSW LCSW NPI 1780871236

NPI Information

NPI: 1780871236
Provider Name: RODERICK EDWARD THEIS, MSW, LCSW
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 622 AIRPORT RD
PENDLETON, OR
ZIP 97801
Phone: (541) 276-0057

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NPI Details

Roderick Edward Theis, MSW, LCSW is a mental health counselor in Pendleton, OR. Roderick Edward Theis, MSW, LCSW NPI is 1780871236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

622 AIRPORT RD
PENDLETON, OR
ZIP 97801-598
Phone: (541) 276-0057
Fax: (541) 276-1704

The enumeration date for this NPI number is 9/28/2007 and was last updated on 9/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	L4084	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	L4084	OTHER	OREGON	STATE OF OREGON LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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