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1558425926
PHYLLIS M RICHARDSON
PORTLAND, OR
NPI
1558425926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OR 668)
Enumeration Date
2006-12-20
Last Update Date
2007-12-19
Business Address
PHYLLIS M RICHARDSON PH.D.
1112 NE 21ST AVE SUITE 5
PORTLAND, OR 97232-2595
Phone number: 503-281-1897
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Mailing Address
PHYLLIS M RICHARDSON PH.D.
1112 NE 21ST AVE SUITE 5
PORTLAND, OR 97232
Phone number: 503-281-1897
Copy
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