Individual
RICHARD DIAMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
(360) 713-0967
Mailing address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
(360) 713-0967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00000708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4112819
—
WA
Enumeration date
12/12/2013
Last updated
12/12/2013
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