Individual
DR. JASON GUY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1130 SW MORRISON ST, SUITE 619, PORTLAND, OR 97205-2234
(503) 260-1158
Mailing address
1130 SW MORRISON ST, SUITE 619, PORTLAND, OR 97205-2234
(503) 260-1158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2408
OR
103TC0700X
Clinical Psychologist
PY8699
FL
Other
Enumeration date
11/07/2009
Last updated
03/24/2014
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