NPIMap

Rob Dean Gerig, MA COUNSELING

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Shedd, OR

NPI 1982131736 · NPPES record last updated Dec 21, 2018

Key facts

NPI
1982131736
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
31700 Fayetteville Dr
Shedd, OR 97377-9779
Phone
(503) 208-9004
Fax
(541) 258-7818
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Teen Challenge International Pacific Northwest Centers Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

31700 Fayetteville Dr
Shedd, OR 97377-9779

Mailing address

6902 SE Lake Rd Ste 300
Portland, OR 97267-2148
Phone (971) 255-0658

Other providers in Shedd, OR

All providers in Shedd, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.