Individual
MR. RICKY LEE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, CSWA
Contact information
Practice address
160 SW SCALE HSE LOOP, SUITE 160, BEND, OR 97702-1284
(541) 312-4316
Mailing address
474 NE EMERSON AVE, BEND, OR 97701-4939
(262) 389-6778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A6052
OR
1041C0700X
Clinical Social Worker
M6052
OR
Other
Enumeration date
08/22/2010
Last updated
05/10/2015
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