Individual
MRS. MIRANDA HEATHER RICHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
Mailing address
324 NE AUTUMN ROSE WAY APT F, HILLSBORO, OR 97124-5312
(503) 801-5183
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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