Individual
MR. RICHARD ALLEN WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3764 NE BRYCE ST, PORTLAND, OR 97212-1936
(503) 515-6395
Mailing address
3764 NE BRYCE ST, PORTLAND, OR 97212-1936
(503) 515-6395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041844RN
OR
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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