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Individual

RICHARD JOSEPH APP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
340 NE 63RD AVE, PORTLAND, OR 97213-5004
(503) 803-4628
Mailing address
340 NE 63RD AVE, PORTLAND, OR 97213-5004
(503) 803-4628

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91006256
OR

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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