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Individual

KIMBERLY ANN RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
200540436RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201907600NP-PP
OR

Other

Enumeration date
06/26/2019
Last updated
01/29/2020
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