Individual
DR. ROBIN L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
675 N 5TH ST STE 200, LEBANON, OR 97355-2875
(541) 451-6282
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO15187
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161570
—
OR
01
—
P00749907
RR MEDICARE
OR
Enumeration date
07/31/2006
Last updated
11/04/2020
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