Individual
CONNOR JAMES RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754-2562
(541) 447-6263
Mailing address
PO BOX 6095, BEND, OR 97708-6095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA221451
OR
Other
Enumeration date
08/04/2022
Last updated
04/16/2025
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