Individual
KEEGAN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1072 E ST, INDEPENDENCE, OR 97351-1333
(971) 495-6996
Mailing address
835 HARRITT DR NW APT 317, SALEM, OR 97304-3255
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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