Ragade, Jagdish R

Ragade, Jagdish R is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ragade, Jagdish R can be contacted via phone (503) 216-5102.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-5102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD27800 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2001006207 Missouri

Profile Details

NPI number 1477542108
LBN Legal business name Ragade, Jagdish R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2005
Last updated Feb 15th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477542108 NPPES
Oregon MEDICAID 274609
Oregon MEDICAID 500626634
Oregon MEDICAID 205691009

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