Individual
JAN RADZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
349 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-9438
(503) 472-9439
Mailing address
349 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-9438
(503) 472-9439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17050
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029186
—
OR
Enumeration date
01/27/2007
Last updated
07/09/2007
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