Provider Demographics
NPI:1194256578
Name:OGLETREE, RICK (MA MFT LPC)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:OGLETREE
Suffix:
Gender:M
Credentials:MA MFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 NE BELKNAP CT
Mailing Address - Street 2:SUITE 101-S
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6467
Mailing Address - Country:US
Mailing Address - Phone:503-705-0990
Mailing Address - Fax:
Practice Address - Street 1:4660 NE BELKNAP CT
Practice Address - Street 2:SUITE 101-S
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6467
Practice Address - Country:US
Practice Address - Phone:503-705-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health