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Individual

MR. CORY M RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A. CCC-A

Contact information

Practice address
301 NE FRANKLIN AVE, BEND, OR 97701-4917
(541) 389-6669
(541) 389-8865
Mailing address
301 NE FRANKLIN AVE, BEND, OR 97701-4917
(541) 389-6669
(541) 389-8865

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22886
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500612502
OR
Enumeration date
04/10/2008
Last updated
07/21/2022
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