Patrick Louis Radecki in Portland - Specialist

Patrick Louis Radecki - NPI 1205009396

Patrick Louis Radecki is a Specialist in Portland, Oregon. Patrick Louis Radecki practices all healthcare services and medical treatments related to Specialist. The NPI Number for Patrick Louis Radecki is 1205009396. The last update date is 2008-04-09.

Patrick Louis Radecki's current location address is 2222 Nw Lovejoy St, Portland, Oregon. You can contact this provider via phone number 5032223636 and fax number 5032235139. The mailing address for Patrick Louis Radecki is 2222 Nw Lovejoy St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Louis Radecki
Address 2222 Nw Lovejoy St, Portland, Oregon
Phone Number 5032223636
Fax Number 5032235139
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205009396
Provider Enumeration Date 2008-04-09
Last Updated Date 2008-04-09

Provider Mailing Address Detail

Address 2222 Nw Lovejoy St
City Portland
State Oregon (OR)
Post Code 972103033
Phone Number 5032223636
Fax Number 5032235139

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD13579
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
291880 OR --

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FAQs about Patrick Louis Radecki

What is the unique 10-digit identification code issued to Patrick Louis Radecki by the Centers for Medicare & Medicaid Services?

The Patrick Louis Radecki has been assigned the NPI (National Provider Identifier) 1205009396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Patrick Louis Radecki is physically located?

The Patrick Louis Radecki is physically situated at the following address: 2222 Nw Lovejoy St, Portland, OR, 972103033.

What is Patrick Louis Radecki's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patrick Louis Radecki's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date was the 1205009396 assigned to Patrick Louis Radecki?

The Patrick Louis Radecki was issued its 1205009396 on 2008-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Patrick Louis Radecki, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patrick Louis Radecki, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-09.

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