=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962295808
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANICE EILEEN RICHARDS MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2025
-----------------------------------------------------
Last Update Date | 05/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 335 SE 8TH AVE
-----------------------------------------------------
City | HILLSBORO
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97123-4246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-681-1111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 34201 POLLARD DR
-----------------------------------------------------
City | SCAPPOOSE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97056-2408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-312-8089
-----------------------------------------------------
Fax | 503-543-4021
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | A13661
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------