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Individual

ROD FREDERICK RICHMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
9600 SW OAK ST STE 410, TIGARD, OR 97223-6581
(503) 308-8676
Mailing address
7709 SW PFAFFLE ST APT 84, PORTLAND, OR 97223-2403
(808) 443-7354

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC210861
OR

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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