Organization
FAMILY MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN LYNDEN RICHARDSON DO (OWNER)
(503) 231-0014
Entity
Organization
Contact information
Practice address
600 N 5TH ST, LEBANON, OR 97355-2876
(503) 784-5905
(541) 644-5000
Mailing address
5646 SE HILLWOOD CIR, MILWAUKIE, OR 97267-4141
(503) 784-5905
(541) 644-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO15187
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WCRDC
MEDICARE #
—
05
—
161970
—
OR
Enumeration date
04/15/2008
Last updated
11/23/2016
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