Michele Raddish in Lake Oswego - Developmental - Behavioral Pediatrics

Michele Raddish - NPI 1114116969

Michele Raddish is a Developmental - Behavioral Pediatrics in Lake Oswego, Oregon. Michele Raddish practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Michele Raddish is 1114116969. The last update date is 2020-10-05.

Michele Raddish's current location address is 560 Milburn Ct, Lake Oswego, Oregon. You can contact this provider via phone number 5036970958. The mailing address for Michele Raddish is 560 Milburn Ct, Lake Oswego, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Michele Raddish
Address 560 Milburn Ct, Lake Oswego, Oregon
Phone Number 5036970958
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1114116969
Provider Enumeration Date 2007-10-17
Last Updated Date 2020-10-05

Provider Mailing Address Detail

Address 560 Milburn Ct
City Lake Oswego
State Oregon (OR)
Post Code 970341654
Phone Number 5036970958
Fax Number

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No MD2013-0227
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

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FAQs about Michele Raddish

What is the unique identifier code issued to Michele Raddish by the Centers for Medicare & Medicaid Services?

The Michele Raddish has been assigned the NPI (National Provider Identifier) 1114116969. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michele Raddish?

The Michele Raddish is physically situated at 560 Milburn Ct, in the city of Lake Oswego, state of OR, with the postal code 970341654.

What is Michele Raddish's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michele Raddish is Developmental - Behavioral Pediatrics, and the taxonomy code that classifies this field of practice is 2080P0006X.

On what date did the Michele Raddish receive the assignment of its 1114116969 from the Centers for Medicare & Medicaid Services?

The Michele Raddish was issued its 1114116969 by the Centers for Medicare & Medicaid Services on 2007-10-17.

When was the information related to Michele Raddish most recently updated or refreshed?

The details pertaining to the Michele Raddish, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-05.

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