Individual
JULIA RAE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Mailing address
66946 HUNTER RD, SUMMERVILLE, OR 97876-8128
(541) 963-8512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0689
OR
Other
Enumeration date
12/08/2017
Last updated
06/16/2018
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