| Humble & Richmond, Pc | |
|
1201 Se 223rd Suite 180 Gresham OR 97030 | |
| (503) 667-1431 | |
| Not Available |
| Full Name | Humble & Richmond, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1201 Se 223rd, Gresham, Oregon |
| Authorized Official Name and Position | Erik Richmond (PRESIDENT) |
| Authorized Official Contact | 5036671431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humble & Richmond, Pc 1201 Se 223rd Suite 180 Gresham OR 97030 Ph: (503) 667-1431 | Humble & Richmond, Pc 1201 Se 223rd Suite 180 Gresham OR 97030 Ph: (503) 667-1431 |
| NPI Number | 1619199007 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619199007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D6660D7053 (Oregon) | Primary |
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