Derenda Richardson

LBN: Derenda Richardson
Derenda Richardson is an health care organization with primary practice located at 1514 Commerce Ave , Longview WA 98632-4102. The organization recently has only one registered license in Other Service Providers / Naturopath, which is considered as the primary health care specialty. Derenda Richardson can be contacted via phone (360) 353-3822, or through Richardson, Derenda Joelle via phone (360) 353-3822.

Contact Information

Primary practice address
1514 Commerce Ave Longview WA 98632-4102
Phone: (360) 353-3822
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Derenda Joelle ND
Phone: (360) 353-3822

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT00001372 Washington

Profile Details

NPI number 1831453828
LBN Legal business name Derenda Richardson
DBA Doing business as
Authorized official Richardson, Derenda Joelle ND
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2012
Last updated Jun 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831453828 NPPES
Other 1447269428 NPI TYPE 1
Other NT00001372 NPI TYPE 1

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