Individual
BENJAMIN BRADY LARKIN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2416 SE 70TH AVE, PORTLAND, OR 97206-1109
(503) 928-9277
Mailing address
2416 SE 70TH AVE, PORTLAND, OR 97206-1109
(503) 928-9277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87426
CA
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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