Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Corey R Richardson, PA-C

Individual provider Physician Assistant · NPI 1467471748

Mr. Corey R Richardson, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2003, 23 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
23
Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 SE 172nd Ave
Vancouver, WA 98684-9542
Phone: (360) 397-1500
Fax: (360) 604-1771
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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 PA10005059 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA00946 (OR)

Record details

NPI number1467471748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 2, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Vancouver