Individual
MRS. STEFFANIE ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(360) 910-9597
Mailing address
1414 NW 8TH AVE, CAMAS, WA 98607
(360) 910-9597
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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