Individual
EVA MARIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
2300 SW 4TH ST, BATTLE GROUND, WA 98604-3043
(360) 609-0331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911585652
—
WA
Enumeration date
08/20/2018
Last updated
01/16/2019
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