Organization
WESTERN U MEDICAL GROUP, LLC
Active
Other names
WesternU Health Oliver Station Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L RICHARDSON DO (MEDICAL DIRECTOR)
(503) 771-0055
Entity
Organization
Contact information
Practice address
5909 SE 92ND AVE, PORTLAND, OR 97266-4642
(503) 771-0055
Mailing address
5909 SE 92ND AVE, PORTLAND, OR 97266-4642
(503) 771-0055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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