Individual
A'LISSA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7700
Mailing address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202006706NP-PP
OR
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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