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Individual

RICHARD C. HAVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-4370
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD23577
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD23577
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287015
OR
Enumeration date
06/28/2005
Last updated
11/11/2020
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