Robert Richardson, NP | |
2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1516 | |
(541) 229-2663 | |
(541) 677-2294 |
Full Name | Robert Richardson |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 2460 Nw Stewart Pkwy Ste 100, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134845407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN-NP10000262 (Oregon) | Primary |
Entity Name | Centennial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063 |
Mailing Address | Practice Location Address |
---|---|
Robert Richardson, NP 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 Ph: (541) 677-2452 | Robert Richardson, NP 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1516 Ph: (541) 229-2663 |
Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 | |
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356 | |
Charlene Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Sherri Twedt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522 | |
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100 |