Provider Demographics
NPI:1316160294
Name:GEER, RUTHYN M (BS, CADC II)
Entity type:Individual
Prefix:
First Name:RUTHYN
Middle Name:M
Last Name:GEER
Suffix:
Gender:F
Credentials:BS, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 NW MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-4721
Mailing Address - Country:US
Mailing Address - Phone:541-766-3540
Mailing Address - Fax:541-766-3543
Practice Address - Street 1:557 NW MONROE AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4721
Practice Address - Country:US
Practice Address - Phone:541-766-3540
Practice Address - Fax:541-766-3543
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101Y00000X
OR95-04-125101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor