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RODERICK EDWARD THEIS II MSW, LCSW
NPI 1780871236
Counselor - Mental Health in Pendleton, OR

Active since September 28, 2007
622 AIRPORT RD, PENDLETON, OR 97801(541) 276-0057(541) 276-1704 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roderick Edward Theis Ii Msw, Lcsw NPPES

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

RODERICK EDWARD THEIS II MSW, LCSW (NPI 1780871236) is an individual mental health provider in Pendleton, Oregon, licensed in Oregon (L4084) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1780871236
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRODERICK EDWARD THEIS IICredential: MSW, LCSW
Location Address622 AIRPORT RDPendleton, OR 97801-4598
Mailing Address622 Airport RdPendleton, OR 97801-4598 · (541) 276-0057 · Fax (541) 276-1704
Phone(541) 276-0057
Fax(541) 276-1704
Sole ProprietorNo
Enumeration DateSeptember 28, 2007
✔ NPI 1780871236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L4084
622 AIRPORT RD, Pendleton, OR 97801
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Other Identifiers 1

OtherL4084OR · State Of Oregon License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE ANTONIA WART RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
622 AIRPORT RD
PENDLETON, OR 97801
Umatilla County (541) 966-7776
LEONARD WAYNE LYONS MA
Student in an Organized Health Care Education/Training Program
622 AIRPORT RD
PENDLETON, OR 97801
Umatilla County (541) 966-7789
PENDLETON ACADMIES
Residential Treatment Facility, Emotionally Disturbed Children
622 AIRPORT RD
PENDLETON, OR 97801
Umatilla County (541) 276-0057
DIANE KATHLEEN CORT-WAGNER RN, FNP
Nurse Practitioner (Family)
622 AIRPORT RD
PENDLETON, OR 97801
Umatilla County (541) 276-0057
MR. VINCE CHARLES BRUNNING MA (OXON), MA, LPC
Counselor (Mental Health)
622 AIRPORT RD
PENDLETON, OR 97801
Umatilla County (541) 966-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roderick Theis's NPI number?

The NPI number for Roderick Theis is 1780871236. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Where is Roderick Theis located?

Roderick Theis practices at 622 Airport Rd, Pendleton, OR 97801. The listed phone number is (541) 276-0057.

What is Roderick Theis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roderick Theis was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.