Individual
JOHN E RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 DOUGLAS ST, STE D, LONGVIEW, WA 98632-2429
(360) 423-9229
(360) 423-9230
Mailing address
1106 DOUGLAS ST, STE D, LONGVIEW, WA 98632-2429
(360) 423-9229
(360) 423-9230
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
15784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121243
—
WA
Enumeration date
07/25/2006
Last updated
02/21/2017
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