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Scott Richardson
Mental Illness Community Based Residential Treatment Facility in Klamath Falls, Oregon
NPI 1356858369

Scott Richardson is a Mental Illness Community Based Residential Treatment Facility based in Klamath Falls, OR. Scott Richardson practices in Klamath Falls, OR. The NPI Number for Scott Richardson is 1356858369 and holds a License No. 519169 (Oregon).

The current practice location address for Scott Richardson is 3934 Rio Vista Way, Klamath Falls, OR and can be reached out via phone at 662-687-4969. You can also correspond with Scott Richardson through the mailing address at 3934 RIO VISTA WAY, KLAMATH FALLS, OR - 97603-7729 (mailing address contact number: 662-687-4969).

Location: 3934 Rio Vista Way, Klamath Falls, OR, 97603-7729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356858369
Provider Name
Scott Richardson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3934 Rio Vista Way, Klamath Falls, OR, 97603-7729
Phone Number
662-687-4969
Fax Number
Provider Enumeration Date
12/29/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
519169 05 OR
institution
Provider Business Practice Location Address Details
Address
3934 Rio Vista Way
City
Klamath Falls
State
Oregon
Zip
97603
Phone Number
662-687-4969
Fax Number
person
Provider Business Mailing Address Details
Address
3934 Rio Vista Way
City
Klamath Falls
State
Oregon
Zip
97603
Phone Number
662-687-4969
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
519169 (Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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