NPI 1356296958

Keegan Richards

Practitioner Exclusive Provider Organization Independence, OR

Practice location

Address: 1072 E St, Independence, OR 97351-1333
Phone: (971) 495-6996
Mailing address: 835 Harritt Dr NW APT 317, Salem, OR 97304-3255

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1356296958
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2026
Record last updated: 28 Feb 2026

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.