Organization
SPINRIOT
Active
Other names
CareSpace
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P RICHARDS (CO-FOUNDER, CEO)
(503) 290-4943
Entity
Organization
Contact information
Practice address
28505 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070-9518
(503) 290-4943
Mailing address
28505 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070-9518
(503) 290-4943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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