Individual
DR. JULEE K. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
341 MEDICAL LOOP STE 110, ROSEBURG, OR 97471-5546
(541) 440-2165
(541) 440-8932
Mailing address
341 MEDICAL LOOP STE 110, ROSEBURG, OR 97471-5546
(541) 440-2165
(541) 440-8932
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD17078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026463
—
OR
01
—
070016168
RR MEDICARE PIN
OR
01
—
804708001
BLUE CROSS
OR
01
—
CJ9890
RR MEDICARE GROUP PIN
OR
01
—
R112608
MEDICARE GROUP PIN
OR
Enumeration date
07/25/2006
Last updated
07/09/2008
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