SUSAN D FORDICE
NPI 1487081394
Community Based Residential Treatment Facility, Mental Illness in Pendleton, OR

Active since October 09, 2013
2013 SW OLSON AVE, PENDLETON, OR 97801(541) 240-1446 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan D Fordice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN D FORDICE (NPI 1487081394) is an individual community based residential treatment facility, mental illness provider in Pendleton, Oregon and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1487081394
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameSUSAN D FORDICE
Location Address2013 SW OLSON AVEPendleton, OR 97801-4421
Mailing Address2013 Sw OlsonPendleton, OR 97801 · (541) 240-1446
Sole ProprietorYes
Enumeration DateOctober 9, 2013
NPI 1487081394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2013 SW OLSON AVE, Pendleton, OR 97801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487081394, enumerated as an "individual" on October 09, 2013.

The provider is located at 2013 SW OLSON AVE PENDLETON, OR 97801 and the phone number is (541) 240-1446.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.