Organization
JRN LAKE O PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A. RICHMOND M.D (OWNER/PRESIDENT)
(503) 504-6692
Entity
Organization
Contact information
Practice address
10690 NE CORNELL RD STE 324, HILLSBORO, OR 97124-9224
(503) 297-9340
Mailing address
17050 PILKINGTON RD STE 130, LAKE OSWEGO, OR 97035-6308
(503) 697-3255
(503) 697-7792
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD25244
OR
Other
Enumeration date
01/05/2015
Last updated
12/15/2020
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