Individual
DR. PATRICK LOUIS RADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 607, PORTLAND, OR 97210-3033
(503) 222-3636
(503) 223-5139
Mailing address
2222 NW LOVEJOY ST, SUITE 607, PORTLAND, OR 97210-3033
(503) 222-3636
(503) 223-5139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291880
—
OR
Enumeration date
04/09/2008
Last updated
04/09/2008
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