Whalio Doctors

NPI 1346924347

Matthew Crawford Richardson

Practitioner Optometrist Gresham, OR

Practice location

Address
970 NW Eastman Pkwy, Gresham, OR 97030-5533
Phone
(503) 666-7460
Mailing address
11510 SE Sunnyside Rd APT 16, Clackamas, OR 97015-5331

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4676 (OR)

Registry record

NPI
1346924347
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jun 2023
Record last updated
12 Jun 2023

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.