Individual
JULIE CAROL RADOSTITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
0615 SW PALATINE HILL RD, PORTLAND, OR 97219-7879
(503) 768-7165
(503) 768-7167
Mailing address
8875 SW ROSEWOOD WAY, PORTLAND, OR 97225-1370
(503) 297-6051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18887
OR
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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