LEVI RICHARDSON

FOREST GROVE, OR
NPI1932839180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  ATI4634)
Enumeration Date2022-06-11
Last Update Date2022-06-11
Business Address
Dr. LEVI RICHARDSON OD
2804 19TH AVE
FOREST GROVE, OR 97116-2625
Phone number: 503-357-2020
Mailing Address
Dr. LEVI RICHARDSON OD
2804 19TH AVE
FOREST GROVE, OR 97116-2625
Phone number: 503-357-2020
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