Individual provider · Type 1 NPI
Jessica Esther Radway, PA-C
Specialist · Portland, ME
NPI number
1194020891
Active
Practice location
51 Sewall St Ste 1
Portland, ME 04102
Fax (207) 874-7478
Other practice locations
- 16770 SW Edy Rd, Sherwood, OR 97140-9678 · (503) 216-9600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA161551 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | N/A |
| Specialist Primary | 174400000X | PA1564 (ME) |
Specialist: 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.
5 other providers at this address
- Erin Kimberley Little, MDSpecialist Portland, ME NPI 1770978835
- Griffin James Reed, MDSpecialist Portland, ME NPI 1952927303
- Katherine Keller, DOSpecialist Portland, ME NPI 1568854404
- Kelly Irene Daly, APRN, FNP-CFamily Nurse Practitioner Portland, ME NPI 1013019348
- Thomas Charles Hopkins, NPFamily Nurse Practitioner Portland, ME NPI 1730737065
Other specialist providers in Portland
- Andrea Claudine Spencer, LMTSpecialist Portland, ME NPI 1043449390
- Hazelnut Weiner SmithSpecialist Portland, ME NPI 1093515389
- Valerie Blais, MTSpecialist Portland, ME NPI 1093768129
- Margarett J. RounsavallSpecialist Portland, ME NPI 1104006410
- Elizabeth A. Jackson, LIC. MASSAGE THERAPISpecialist Portland, ME NPI 1104091784
- Brian E. Daikh, MDSpecialist Portland, ME NPI 1184617953
- Carol Rebecca Ward, MDSpecialist Portland, ME NPI 1184629883
- Tim McLain, LMTSpecialist Portland, ME NPI 1184860454
About NPI 1194020891
Jessica Esther Radway, PA-C's National Provider Identifier is 1194020891, issued on Jan 11, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, ME. The record was last updated on Sep 26, 2018.