Individual
RICHARD OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 226-4060
Mailing address
232 NW 6TH AVENUE, ATTN: CREDENTIALING, PORTLAND, OR 97209
(503) 501-5641
(503) 294-4321
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
THW-1396
OR
175T00000X
Peer Specialist
Primary
16-CRM-117
OR
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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