Individual
GABRIELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
15225 AURORA AVE N, SHORELINE, WA 98133-6123
(206) 363-7790
Mailing address
15225 AURORA AVE N, SHORELINE, WA 98133-6123
(206) 363-7790
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORTH.OI.61655851
WA
224P00000X
Prosthetist
Primary
PROS.PS.61407076
WA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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