Celeste Richardson

NPI #1235594896 in Clackamas, Oregon

Provider Information

NPI Number
1235594896
Entity Type
Individual
Name
Celeste Richardson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Dec 28, 2015
Last Updated
Dec 1, 2016

Practice Location

Address
9900 SE SUNNYSIDE RD
Address 2
KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
State
Oregon
ZIP Code
97015-9777
Phone
(503) 813-4756

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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