Individual
JUDITH A RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE 4J14, PORTLAND, OR 97213-2933
(503) 215-5545
(503) 215-6012
Mailing address
4805 NE GLISAN ST STE 4J14, PORTLAND, OR 97213-2933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD25244
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022775
—
OR
Enumeration date
06/15/2006
Last updated
12/23/2021
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