Individual
KYLE M. RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
2529 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004033
WA
363AS0400X
Surgical Physician Assistant
PA10004033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8355224
—
WA
Enumeration date
06/21/2006
Last updated
12/07/2022
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