Individual
RICHARD BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11977 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9312
(503) 486-6944
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65508
OR
225100000X
Physical Therapist
PT00007581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205223
LABOR & INDUSTRIES
WA
05
—
8341554
—
WA
Enumeration date
09/25/2006
Last updated
10/24/2024
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