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Individual

MATTHEW CRAWFORD RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
970 NW EASTMAN PKWY, GRESHAM, OR 97030-5533
(503) 666-7460
Mailing address
11510 SE SUNNYSIDE RD APT 16, CLACKAMAS, OR 97015-5331
(360) 500-5274

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4676
OR

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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