Timothy Ritchey, BOC-O

NPI #1184981839 in Portland, Oregon

Provider Information

NPI Number: 1184981839
Entity Type: Individual
Name: Timothy Ritchey, BOC-O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: BOC-O
Enumeration Date: Apr 19, 2012
Last Updated: Apr 19, 2012

Practice Location

Address: 2824 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97201-3006
Phone: (503) 243-1974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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