Agosto, Richard
Agosto, Richard is an individual health care provider with primary practice located at 5220 Ne Hazel Dell Ave , Vancouver WA 98663-1242. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Agosto, Richard can be contacted via phone (360) 253-4912.Contact Information
Primary practice address
5220 Ne Hazel Dell Ave
Vancouver WA 98663-1242
Phone: (360) 253-4912
Fax: (360) 253-5170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00002544 | Washington |
Profile Details
| NPI number | 1699737452 |
|---|---|
| LBN Legal business name | Agosto, Richard |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699737452 | NPPES |
| Washington | MEDICAID | 8352346 |
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