IndividualActive
Celeste Richardson
NPI 1235594896 · Physician Assistant · Clackamas, OR
Provider details
- NPI number
- 1235594896
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA 180390 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9900 Se Sunnyside Rd
Kaiser Permanente Sunnybrook Medical Office
Clackamas, OR 97015-9777
Phone: (503) 813-4756
Fax: (877) 821-5101
Approximate (ZIP-level) locationGet directions
Mailing address
9900 Se Sunnyside Rd
Clackamas, OR 97015-9777
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.