NPI 1811535834

Jeremy Riddle, RH

Practitioner Religious Nonmedical Practitioner Gladstone, OR

Practice location

Address: 455 Portland Ave, Gladstone, OR 97027-2452
Phone: (971) 404-6452
Mailing address: PO Box 1002, Gladstone, OR 97027-3002

Registered specialties (2)

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in Oregon →

Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X

Other Counselor providers in Oregon →

Registry record

NPI: 1811535834
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2019
Record last updated: 20 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.