Individual
MR. RICHARD C POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2442 SE 101ST AVE, SUITE 104, PORTLAND, OR 97216-3060
(503) 255-3823
(503) 255-3823
Mailing address
2442 SE 101ST AVE, SUITE 104, PORTLAND, OR 97216-3060
(503) 255-3823
(503) 255-3823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200342130RN
OR
163W00000X
Registered Nurse
RN-70260
NM
363L00000X
Nurse Practitioner
Primary
200950143NP
OR
363L00000X
Nurse Practitioner
TL-00256
NM
Other
Enumeration date
11/17/2006
Last updated
07/12/2012
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