Healthcare Provider Details

I. General information

NPI: 1528062056
Provider Name (Legal Business Name): CHRISTOPHER FRANCIS RICHARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 04/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST CHARLES MEDICAL CENTER, BEND 2500 NE NEFF BLVD
BEND OR
97701-6015
US

IV. Provider business mailing address

2875 NW LUCUS CT
BEND OR
97701-5629
US

V. Phone/Fax

Practice location:
  • Phone: 541-382-4321
  • Fax:
Mailing address:
  • Phone: 503-310-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD22784
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: