Individual
FAIROZ RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 LIBERTY ST SE STE 170, SALEM, OR 97302-4149
(815) 578-6109
(312) 268-5053
Mailing address
960 LIBERTY ST SE STE 170, SALEM, OR 97302-4149
(815) 578-6109
(312) 268-5053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
219833
OR
363AM0700X
Medical Physician Assistant
Primary
003766
GA
Other
Enumeration date
08/23/2011
Last updated
02/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us