Provider Demographics
NPI:1447726351
Name:RIHA, LORI (MA)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:RIHA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 STATE ST STE 455
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3581
Mailing Address - Country:US
Mailing Address - Phone:503-567-5440
Mailing Address - Fax:503-623-9554
Practice Address - Street 1:388 STATE ST STE 455
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3581
Practice Address - Country:US
Practice Address - Phone:503-567-5440
Practice Address - Fax:503-623-9554
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5726101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500783540Medicaid