Individual
CASEY A RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
111 SW NAITO PKWY STE 200, PORTLAND, OR 97204-3512
(888) 288-4715
Mailing address
111 SW NAITO PKWY STE 200, PORTLAND, OR 97204-3512
(907) 531-9961
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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