Richards, Cory M

Richards, Cory M is an individual health care provider with primary practice located at 301 Ne Franklin Ave , Bend OR 97701-4917. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Richards, Cory M can be contacted via phone (541) 389-6669.

Contact Information

Primary practice address
301 Ne Franklin Ave Bend OR 97701-4917
Fax: (541) 389-8865
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 22886 Oregon

Profile Details

NPI number 1629241583
LBN Legal business name Richards, Cory M
Credentials M.A. CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629241583 NPPES
Oregon MEDICAID 500612502

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