Provider Demographics
NPI:1528438389
Name:RICHMAN, SCOTT COX (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:COX
Last Name:RICHMAN
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 1:9495 SW DOWNING DR
Mailing Address - Street 2:APT #4
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-8271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8040 SW HALL BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6448
Practice Address - Country:US
Practice Address - Phone:503-643-0156
Practice Address - Fax:971-732-5624
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor