Connor James Richardson, PA
NPI #1750018164 in Prineville, Oregon
Provider Information
- NPI Number
- 1750018164
- Entity Type
- Individual
- Name
- Connor James Richardson, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Apr 16, 2025
Practice Location
- Address
- 384 SE COMBS FLAT RD STE 1200
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-2562
- Phone
- (541) 447-6263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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