Dr. JACOB RAYMOND RICHARD MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1760665723- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 5050 NE HOYT ST STE 514, PORTLAND, OR, 972132984
- Phone
- (503) 488-2323
- Fax
- (503) 488-2340
Specialties & Taxonomies
Urology
Primary License: OR #MD151070