NPI 1003049909

Kevin Richardson

Practitioner Adult Companion Portland, OR

Practice location

Address: 5029 NE Killingsworth St, Portland, OR 97218
Phone: (503) 402-8117
Mailing address: PO Box 8459, Portland, OR 97207-8459

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

Other Adult Companion providers in Oregon →

Registry record

NPI: 1003049909
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2009
Record last updated: 26 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.