Individual
DR. THOMAS M RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12728 19TH AVE SE STE 200, EVERETT, WA 98208-6676
(425) 225-2700
(425) 225-2790
Mailing address
1728 W MARINE VIEW DR STE 110, EVERETT, WA 98201-2094
(425) 225-2700
(425) 225-2790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD.MD.00044733
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00044733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199330
L&I
WA
05
—
8425258
—
WA
01
—
MD00044733
STATE LICENSE NUMBER
WA
01
—
P00226719
RR MEDICARE
—
Enumeration date
06/08/2006
Last updated
05/20/2026
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