Individual
MS. ANGELA ROSE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 CHERRY AVENUE NE, KEIZER, OR 97303
(503) 304-3400
Mailing address
2445 ADAMS ST SE, SALEM, OR 97301
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772437
—
OR
Enumeration date
11/30/2016
Last updated
11/30/2016
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