Active NPI
Ryan Lobdell, CRM
- Peer Specialist
- Klamath Falls, OR
National Provider Identifier
1346932696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- THW000109035
- Practice address
- 3206 Onyx Ave
Klamath Falls, OR 97603-7279 - Phone
- (154) 136-3127
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW000109035 | OR | Primary |
Addresses
Primary practice location
3206 Onyx Ave
Klamath Falls, OR 97603-7279
Mailing address
222 W Oregon Ave
Klamath Falls, OR 97601-1450
Phone (541) 238-4728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000109035 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1346932696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W OREGON AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011450",
"telephone_number": "541-238-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3206 ONYX AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037279",
"telephone_number": "154-136-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBDELL",
"first_name": "RYAN",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW000109035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.