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

Robert Richardson, NP

Individual provider Nurse Practitioner · NPI 1134845407

Robert Richardson, NP is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2022, 4 years ago. Practices with Centennial Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2460 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1516
Phone: (541) 229-2663
Fax: (541) 677-2294
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP10000262 (OR)

Record details

NPI number1134845407
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 17, 2022
Mailing address201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centennial Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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