Provider Demographics
NPI:1497799936
Name:HOWELL, RICHARD K (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1220 SW MORRISON ST
Mailing Address - Street 2:SUITE 525
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2235
Mailing Address - Country:US
Mailing Address - Phone:503-223-6360
Mailing Address - Fax:503-497-1257
Practice Address - Street 1:1220 SW MORRISON ST
Practice Address - Street 2:SUITE 525
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2235
Practice Address - Country:US
Practice Address - Phone:503-223-6360
Practice Address - Fax:503-497-1257
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORDO09573207Q00000X, 2083X0100X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC90877Medicare UPIN