Provider Demographics
NPI:1821524976
Name:SEDEI, RICHARD SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SCOTT
Last Name:SEDEI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 NE 131ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-1721
Mailing Address - Country:US
Mailing Address - Phone:214-364-0567
Mailing Address - Fax:
Practice Address - Street 1:5802 SE POWELL BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-2826
Practice Address - Country:US
Practice Address - Phone:503-774-3778
Practice Address - Fax:503-774-3880
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor