Individual provider · Type 1 NPI

Patrick Louis Radecki, MD

Specialist · Portland, OR

NPI number 1205009396 Active

Practice location

2222 NW Lovejoy St, Suite 607
Portland, OR 97210-3033

Call (503) 222-3636 Map

Fax (503) 223-5139

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD13579 (OR)

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.

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About NPI 1205009396

Patrick Louis Radecki, MD's National Provider Identifier is 1205009396, issued on Apr 9, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Apr 9, 2008.