RICHARD JORDAN DELAVAN

SHERWOOD, OR
NPI1174161319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201909698NP-PP)
Enumeration Date2019-12-18
Last Update Date2020-10-13
Business Address
RICHARD JORDAN DELAVAN FNP
16770 SW EDY RD STE 102A
SHERWOOD, OR 97140-9679
Phone number: 503-216-9600
Mailing Address
RICHARD JORDAN DELAVAN FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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