RICHARD T WARREN

PORTLAND, OR
NPI1134151822
Other NameRICK T WARREN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  1134151822)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OR  084054476N3)
Enumeration Date2006-07-06
Last Update Date2021-02-16
Business Address
RICHARD T WARREN ANP
6350 NE HALSEY ST
PORTLAND, OR 97213-4720
Phone number: 503-215-2669
Mailing Address
RICHARD T WARREN ANP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494