# GERALD B RICH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC SLEEP PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043693864
- **Authorized official:** DR. RADHIKA SEKHRI BREADEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 228-4414

## Contact information

- **Practice address:** 11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
- **Practice address phone:** (503) 228-4414
- **Practice address fax:** (503) 228-7293
- **Mailing address:** 11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
- **Mailing address phone:** (503) 228-4414
- **Mailing address fax:** (503) 228-7293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD22150 | OR | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 07/16/2020