Richardson, Judy
Richardson, Judy is an individual health care provider with primary practice located at 1935 E 19Th St , The Dalles OR 97058-3390. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Richardson, Judy can be contacted via phone (541) 296-7677.Contact Information
Primary practice address
1935 E 19Th St
The Dalles OR 97058-3390
Phone: (541) 296-7677
Fax: (541) 296-7206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD25035 | Oregon |
Profile Details
| NPI number | 1538141171 |
|---|---|
| LBN Legal business name | Richardson, Judy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 21st, 2011 - about 13 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 | 1538141171 | NPPES |
| Oregon | MEDICAID | 022729 | |
| Oregon | MEDICAID | 500632165 |
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