Provider Demographics
NPI:1689071896
Name:RITCHEY, MARIA G
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 MOLALLA RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-3523
Mailing Address - Country:US
Mailing Address - Phone:971-338-0991
Mailing Address - Fax:
Practice Address - Street 1:2675 MOLALLA RD
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-3523
Practice Address - Country:US
Practice Address - Phone:971-338-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health