Individual
DR. RICHARD OSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
(360) 636-3421
Mailing address
9340 NE 76TH ST, VANCOUVER, WA 98662-3721
(360) 253-4912
(360) 253-5170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8357964
—
WA
Enumeration date
05/03/2006
Last updated
07/08/2007
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