Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Celeste Richardson

Individual provider Physician Assistant · NPI 1235594896

Celeste Richardson is a Physician Assistant in Clackamas, Oregon. Qualified in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
10
Licensed in
OR, WA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

9900 SE Sunnyside Rd Kaiser Permanente Sunnybrook Medical Ofc
Clackamas, OR 97015-9777
Phone: (503) 813-4756
Fax: (877) 821-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 180390 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA 60705018 (WA)

Record details

NPI number1235594896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 1, 2016
Mailing address9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Clackamas