Provider Demographics
NPI:1346428125
Name:KEYSER, RICHARD STUART (ARNP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:STUART
Last Name:KEYSER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1424 NE 83RD DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9621
Mailing Address - Country:US
Mailing Address - Phone:360-984-5198
Mailing Address - Fax:360-989-1502
Practice Address - Street 1:5197 NW LOWER RIVER RD BLDG 1
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-1013
Practice Address - Country:US
Practice Address - Phone:360-205-1222
Practice Address - Fax:360-469-1720
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 30000890363LP0808X
WAAP30000890363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health