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

Kathleen Marie Riordan, FNP

Individual provider Family Nurse Practitioner · NPI 1033984554

Kathleen Marie Riordan, FNP is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2023, 3 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Utah.

Years since qualifying
3
Licensed in
OR, UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 249 Dakota St, Sutherlin, OR 97479-9908 — (541) 677-7200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10034451 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7923124-4405 (UT)

Record details

NPI number1033984554
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Centennial Medical Group East Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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