Richards, John Michael

Richards, John Michael is an sole proprietor health care provider with primary practice located at 703 Se 1St Ave , Canby OR 97013-3849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Richards, John Michael can be contacted via phone (503) 266-7686.

Contact Information

Primary practice address
703 Se 1St Ave Canby OR 97013-3849
Phone: (503) 266-7686
Fax: (503) 266-7382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 000038332N3 Oregon

Profile Details

NPI number 1013057215
LBN Legal business name Richards, John Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Dec 21st, 2011 - about 14 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 1013057215 NPPES
Oregon MEDICAID 017033

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