Individual
DR. CHARA ELAINE RYDZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2016010398
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD189979
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407176076
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/07/2010
Last updated
01/28/2019
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