Individual
MARK RICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G36856
CA
207L00000X
Anesthesiology Physician
G36856
CA
207L00000X
Anesthesiology Physician
Primary
MD190142
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G368560
—
CA
01
—
G36856
MEDICAL BOARD CERTIFICATE
CA
Enumeration date
06/29/2006
Last updated
03/07/2023
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