Richard Choate, CADCII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Madras, OR
NPI 1376017400 · NPPES record last updated Jan 11, 2019
Key facts
- NPI
- 1376017400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 16R17 (OR)
- Practice address
- 850 SW 4TH St
Madras, OR 97741-9628 - Phone
- (541) 475-4822
- Fax
- (541) 504-1195
- NPI assigned
- Jan 11, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16R17 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16R17 | OR | Yes |
Addresses
Primary practice location
850 SW 4TH St
Madras, OR 97741-9628
Mailing address
PO Box 1710
Redmond, OR 97756-0516
Phone (541) 475-4822
Other providers in Madras, OR
- Central Oregon Chiropractic Service PC
- Central Oregon Eyecare, PC
- Cep America - Neurology PC
- Annette Chastain
- Natalie Chavez
- Shawna D Choin
- Candy Cisneros
- William C Claridge
- Brandon L Cleem
- Jennifer A Cleem
All providers in Madras, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.