Kevin Richardson

NPI #1003049909 in Portland, Oregon

Provider Information

NPI Number: 1003049909
Entity Type: Individual
Name: Kevin Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Aug 26, 2009
Last Updated: Aug 26, 2009

Practice Location

Address: 5029 NE KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97218
Phone: (503) 402-8117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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