Individual
MRS. JESSICA ANNE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
10101 SE MAIN ST, SUITE 1001, PORTLAND, OR 97216-2455
(503) 255-3404
(503) 255-4750
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 255-3404
(503) 255-4750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86006836
OR
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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