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1144814104
JOAN RICHARDSON
PORTLAND, OR
NPI
1144814104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA213508)
Enumeration Date
2021-02-21
Last Update Date
2023-01-04
Business Address
JOAN RICHARDSON PA-C
14601 SE DIVISION ST
PORTLAND, OR 97236-2333
Phone number: 888-875-7820
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Mailing Address
JOAN RICHARDSON PA-C
14601 SE DIVISION ST
PORTLAND, OR 97236-2333
Phone number: 888-875-7820
Copy
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