Individual
MR. RENJITH RADHAKRISHNAN NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
9427 SW BARNES RD STE 395, PORTLAND, OR 97225-6652
(503) 962-1000
Mailing address
PO BOX 31001-4180, PASADENA, CA 91110-4180
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10020460
OR
363LA2100X
Acute Care Nurse Practitioner
SP026657
PA
363LG0600X
Gerontology Nurse Practitioner
10020460
OR
Other
Enumeration date
12/05/2022
Last updated
08/24/2025
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