Corey R Richardson in Vancouver - Physician Assistant

Corey R Richardson - NPI 1467471748

Corey R Richardson is a Physician Assistant in Vancouver, Washington. Corey R Richardson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Corey R Richardson is 1467471748. The last update date is 2009-12-02.

Corey R Richardson's current location address is 700 Ne 87th Ave, Vancouver, Washington. You can contact this provider via phone number 3603971500 and fax number 3606041771. The mailing address for Corey R Richardson is 700 Ne 87th Ave, Vancouver, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Corey R Richardson
Address 700 Ne 87th Ave, Vancouver, Washington
Phone Number 3603971500
Fax Number 3606041771
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1467471748
Provider Enumeration Date 2006-07-18
Last Updated Date 2009-12-02

Provider Mailing Address Detail

Address 700 Ne 87th Ave
City Vancouver
State Washington (WA)
Post Code 98664
Phone Number 3603971500
Fax Number 3606041771

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00946
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8462046 WA --

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FAQs about Corey R Richardson

What is the Corey R Richardson's 1467471748?

The Corey R Richardson's NPI (National Provider Identifier) Number is 1467471748. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Corey R Richardson is geographically located?

The Corey R Richardson is physically situated at the following location: 700 Ne 87Th Ave, Vancouver, WA, 98664.

What is the Corey R Richardson's area of specialization and corresponding taxonomy classification?

The Corey R Richardson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1467471748 assigned to Corey R Richardson?

The Corey R Richardson was issued its 1467471748 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Corey R Richardson most recently updated or revised?

The information pertaining to Corey R Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-02.

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