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Individual

JAGDISH R RAGADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-5102
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2001006207
MO
2084P0800X
Psychiatry Physician
Primary
MD27800
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205691009
MO
05
274609
OR
05
500626634
OR
Enumeration date
10/15/2005
Last updated
02/15/2021
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