Individual provider · Type 1 NPI

Miles Potter Richmond Iii, M.A. QMHP

Mental Health Counselor · Portland, OR

NPI number 1659409753 Active

Practice location

412 SW 12th Avenue
Portland, OR 97205-2329

Call (503) 228-7134 Map

Fax (503) 445-0749

Mailing address

232 NW 6th Avenue
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659409753

Miles Potter Richmond Iii, M.A. QMHP's National Provider Identifier is 1659409753, issued on Mar 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 30, 2011.