person
Mr. Miles Potter Richmond III, MAQMHP
Mental Health Counselor in Portland, Oregon
NPI 1659409753

Miles Potter Richmond III is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Miles Potter Richmond III practices in Portland, OR and has the professional credentials of MAQMHP. The NPI Number for Miles Potter Richmond III is 1659409753 and holds a License No. (Oregon).

The current practice location address for Miles Potter Richmond III is 412 Sw 12Th Avenue, Portland, OR and can be reached out via phone at 503-228-7134 and via fax at 503-445-0749.

Location: 412 Sw 12Th Avenue, Portland, OR, 97209-3609
person
Provider Profile Details
NPI Number
1659409753
Provider Name
Miles Potter Richmond III
Credential
MAQMHP
Provider Entity Type
Individual
Gender
Male
Address
412 Sw 12Th Avenue, Portland, OR, 97209-3609
Phone Number
503-228-7134
Fax Number
503-445-0749
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
412 Sw 12Th Avenue
City
State
Zip
97205-2329
Phone Number
503-228-7134
Fax Number
503-445-0749
person
Provider Business Mailing Address Details
Address
412 Sw 12Th Avenue
City
State
Zip
97205-2329
Phone Number
503-228-7134
Fax Number
503-445-0749
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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