Richardson, Laurena Diane

Richardson, Laurena Diane is an individual health care provider with primary practice located at 70 Bower Dr , Medford OR 97501-3688. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Richardson, Laurena Diane can be contacted via phone (541) 732-3430.

Contact Information

Primary practice address
70 Bower Dr Medford OR 97501-3688
Phone: (541) 732-3430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA207919 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60997023 Washington

Profile Details

NPI number 1306312392
LBN Legal business name Richardson, Laurena Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2018
Last updated Aug 20th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306312392 NPPES
Oregon MEDICAID 500801790

Popular Providers