Individual
SAMANTHA ELLEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
10121 SE SUNNYSIDE RD, SUITE 210, CLACKAMAS, OR 97015-5745
(971) 224-2040
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15309
OR
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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