Richardson, Brad C
Richardson, Brad C is an individual health care provider with primary practice located at 2804 19Th Ave , Forest Grove OR 97116-2625. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Richardson, Brad C can be contacted via phone (503) 357-2020.Contact Information
Primary practice address
2804 19Th Ave
Forest Grove OR 97116-2625
Phone: (503) 357-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1942AT ACTIVE | Oregon |
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HAS-P-470158 | Oregon |
Profile Details
NPI number | 1922009836 |
---|---|
LBN Legal business name | Richardson, Brad C |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2005 |
Last updated | Jan 11th, 2012 - about 12 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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