Individual
DR. JESSICA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2740 19TH AVE, FOREST GROVE, OR 97116-2623
(503) 357-5050
Mailing address
PO BOX 38, FOREST GROVE, OR 97116-0038
(503) 357-5050
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30769
OR
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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