Connor James Richardson, PA
Connor James Richardson, PA is a Physician Assistant in Prineville, Oregon. Qualified in 2024, 2 years ago. Practices with St Charles Health System Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 2
- Licensed in
- OR
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
384 SE Combs Flat Rd Ste 1200Prineville, OR 97754-2562
Phone: (541) 447-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA221451 (OR) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1750018164 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | August 4, 2022 |
| Last updated in NPPES | April 16, 2025 |
| Certification date | April 16, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | St Charles Health System Inc — 177 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Prineville
-
Daysha Deann Crosier
384 SE Combs Flat Rd, Prineville, OR 97754-2562 · (541) 477-6263
-
Amanpreet Kaur, PA
384 SE Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 · (541) 447-6263
-
Mr. Kenneth D Long
1251 NE Elm St, Prineville, OR 97754 · (541) 447-1680
-
Joe Panelli, PA-C
375 NW Beaver St Ste 101, Prineville, OR 97754-1802 · (520) 643-6627