Mr. John Michael Richards
Nurse Practitioner - Adult Health
703 Se 1st Ave
Canby
, Oregon 97013-3849
Mr. John Michael Richards
Nurse Practitioner - Adult Health
703 Se 1st Ave
Canby
, Oregon 97013-3849
(503) 266-7382
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mr. John Michael Richards
- 703 Se 1st Ave
- Canby, OR
- Zip : 97013-3849
- Fax : (503) 266-7382
- Phone : (503) 266-7686
Second Address
- Mr. John Michael Richards
- 703 Se 1st Ave
- Canby, OR
- Zip : 97013-3849
- Fax : (503) 266-7382
- Phone : (503) 266-7686
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Is Mr. John Michael Richards a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 000038332N3 | OR |
National Provider Identifier
| NPI | 1013057215 |
|---|---|
| Provider Name | Mr. John Michael Richards |
| First Address | Canby, OR 97013-3849 |
| Second Address | Canby, OR 97013-3849 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 21/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 017033 | (05) | OR |
| S47545 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.