Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | DEM-LD-10213622 | OR |
NPI | 1144984014 |
---|---|
Provider Name | Patricia Richey |
First Address | Newberg, OR 97132-0074 |
Second Address | Newberg, OR 97132-6608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2021 |
Last Update Date | 27/10/2021 |