Individual
NEXUS NISHAE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 NW EASTMAN PKWY STE 175, GRESHAM, OR 97030-3859
(503) 610-3853
Mailing address
1550 NW EASTMAN PKWY STE 175, GRESHAM, OR 97030-3859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15415
OR
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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