Individual
LISA M RADCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(503) 203-1000
(503) 203-1010
Mailing address
PO BOX 3378, PORTLAND, OR 97208-3378
(503) 601-7636
(503) 601-7622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750073NP
OR
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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