Individual
RICHARD TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
648 CHETCO AVENUE, BROOKINGS, OR 97415
(541) 247-0852
(503) 650-6913
Mailing address
PO BOX 249, GLADSTONE, OR 97027-0249
(503) 650-4359
(503) 650-6913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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