MR. RYAN WESLEY FETSCH
NPI 1720629611
Counselor - Mental Health in Jasper, OR
Active since October 02, 2019
About Mr. Ryan Wesley Fetsch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN WESLEY FETSCH (NPI 1720629611) is an individual mental health provider in Jasper, Oregon and active in the NPI registry since October 2019.
NPPES Registry Identity
NPI1720629611
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RYAN WESLEY FETSCH
Location Address37875 JASPER LOWELL RDJasper, OR 97438-9751
Mailing Address1640 Nw Avery StRoseburg, OR 97471-6047 · (541) 817-2813
Phone(541) 747-1235
Fax(541) 747-4722
Sole ProprietorNo
Enumeration DateOctober 2, 2019
✔ NPI 1720629611 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
37875 JASPER LOWELL RD, Jasper, OR 97438
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720629611, enumerated as an "individual" on October 02, 2019.
The provider is located at 37875 JASPER LOWELL RD JASPER, OR 97438 and the phone number is (541) 747-1235.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
