IndividualActive
Keegan Richards
NPI 1356296958 · Exclusive Provider Organization · Independence, OR
Provider details
- NPI number
- 1356296958
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
1072 E St
Independence, OR 97351-1333
Phone: (971) 495-6996
Approximate (ZIP-level) locationGet directions
Mailing address
835 Harritt Dr Nw Apt 317
Salem, OR 97304-3255
Registry dates
- Enumerated
- 2026-02-28
- Last updated
- 2026-02-28
- Certified
- 2026-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.