RICARDO OLALDE (NPI# 1013329911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013329911 |
Entity Type | Individual |
Full Name | RICARDO OLALDE |
Credential | MS, CADC III, CRM |
Practice Address |
Freedom & Recovery Program A D Program 3405 Deer Park Dr. Se Salem OR 97310-0001 |
Mailing Address |
Po Box 356 Falls City OR 97344-0356 |
Practice Telephone | 5033737758 |
Practice Fax Number | 5033786525 |
Mailing Telephone | 5033737758 |
Mailing Fax Number | 5033016721 |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
96-04-144 | OR | Behavioral Health & Social Service Providers |
Street Address |
FREEDOM & RECOVERY PROGRAM A D PROGRAM 3405 DEER PARK DR. SE |
City | SALEM |
State | OR |
Zip Code | 97310-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740378850 | Susan Owre Gelberg | Psychologist | 2605 State Street, Oregon State Penitentiary, Salem, OR 97310 | 2006-10-11 |
1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
1881819563 | Daryl Spencer Ruthven | Psychiatry & Neurology | 2575 Center St Ne, Counseling & Treatment Services, Salem, OR 97310-0001 | 2007-04-16 |
1538495734 | Ole Hansen | Family Medicine | 2605 State St, Salem, OR 97310-1346 | 2009-10-22 |
1083263529 | David Brown | Student in an Organized Health Care Education/Training Program | 2605 State St, Salem, OR 97310-1346 | 2019-09-07 |
1831466051 | Pamela Rae Ward | Counselor | 2605 State St, Salem, OR 97310-1346 | 2011-11-17 |
1851620850 | Mark Anthony Menes | Dentist | 2605 State St, Salem, OR 97310-1346 | 2009-12-22 |
Find all providers in zip 97310 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
1154956837 | Bobbie J Dawson | Counselor | 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 | 2020-03-03 |
1902457773 | Jorge Arredondo | Counselor | 16 Heritage Dr Apt 15, Salem, MA 01970-2034 | 2019-09-24 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659866911 | Chakra LLC | Counselor | 161 High St Se Ste 209, Salem, OR 97301-3693 | 2018-06-28 |
1346731114 | Robert Bathke | Counselor | 525 Ferry St Se Ste 203, Salem, OR 97301-3743 | 2018-05-28 |
1316453186 | Melody Sue Nova | Counselor | 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 | 2017-12-15 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.