GENEVA RICHARDSON

CLACKAMAS, OR
NPI1326737735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10008926)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP61432615)
Enumeration Date2023-05-02
Last Update Date2023-06-06
Business Address
GENEVA RICHARDSON FNP-BC
13043 SE 84TH AVE
CLACKAMAS, OR 97015-9798
Phone number: 971-930-5582
Mailing Address
GENEVA RICHARDSON FNP-BC
PO BOX 2392
ESTACADA, OR 97023-2392
Phone number: 503-830-1622
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