Michael Paul Richard

NPI 1659579753 - Adult Companion - 372600000X

NPI Details
NPI 1659579753
Gender Male
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
326 SE 76TH AVE
PORTLAND OR, 97215-1468, US
Phone (503) 225-3198
Business Location
1802 SE 12TH AVE APT 5
PORTLAND OR, 97214-4898, US
Taxonomy Code 372600000X
License State
License Number
Remove 1659579753 NPI Number

According to our database, Michael Paul Richard NPI is 1659579753, taxonomy code is 372600000X Michael Paul Richard physically located at 326 Se 76th Ave, Portland OR, 97215-1468. NPI Number Michael Paul Richard has the Individual type.

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1659579753 NPI number is provided on an as is basis without warranty of any kind. 1659579753 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Paul Richard are for informational purposes only.