Raddish, Michele
Raddish, Michele is an sole proprietor health care provider with primary practice located at 830 Ne 47Th Ave Providence Neurodevelopmental Center For Children, Portland OR 97213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Raddish, Michele can be contacted via phone (503) 216-2339.Contact Information
Primary practice address
830 Ne 47Th Ave Providence Neurodevelopmental Center For Children
Portland OR 97213
Phone: (503) 216-2339
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD2013-0227 | New Mexico |
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD23415 | Oregon |
Profile Details
NPI number | 1114116969 |
---|---|
LBN Legal business name | Raddish, Michele |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2007 |
Last updated | Oct 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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