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

Reginald Richardson

Individual provider Peer Specialist · NPI 1114750437

Reginald Richardson is a Peer Specialist in Roseburg, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 672-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114750437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Other providers in Roseburg