Individual
ROBERT RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2460 NW STEWART PKWY STE 100, ROSEBURG, OR 97471-1516
(541) 229-2663
(541) 677-2294
Mailing address
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471-8835
(541) 677-2452
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP10000262
OR
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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