Provider Demographics
NPI:1528062056
Name:RICHARDS, CHRISTOPHER FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FRANCIS
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 NW LUCUS CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5629
Mailing Address - Country:US
Mailing Address - Phone:503-310-7396
Mailing Address - Fax:
Practice Address - Street 1:ST CHARLES MEDICAL CENTER, BEND
Practice Address - Street 2:2500 NE NEFF BLVD
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6015
Practice Address - Country:US
Practice Address - Phone:541-382-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22784207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORH38358Medicare UPIN
OR109384Medicare ID - Type Unspecified