SCOTT RICHARDSON NPI 1356858369

NPI Information

  • NPI: 1356858369
  • Provider Name: SCOTT RICHARDSON
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Individual
  • Address: 3934 RIO VISTA WAY
    KLAMATH FALLS, OR
    ZIP 97603
  • Phone: (662) 687-4969

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NPI Details

Scott Richardson is a community based residential treatment facility mental illness in Klamath Falls, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Scott Richardson NPI is 1356858369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3934 RIO VISTA WAY
KLAMATH FALLS, OR
ZIP 97603
Phone: (662) 687-4969

The enumeration date for this NPI number is 12/29/2017 and was last updated on 12/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness519169OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1519169MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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