Individual
CHRISTINA MARIE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP- C
Contact information
Practice address
2088 NE KIM LN, BEND, OR 97701-6588
(541) 504-6010
Mailing address
3265 HILLCREST PARK DR, MEDFORD, OR 97504-7657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202208609NP-PP
OR
363LF0000X
Family Nurse Practitioner
95020136
CA
Other
Enumeration date
02/25/2022
Last updated
11/29/2023
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