Individual
DR. LATHA S RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 292-9560
(503) 292-9510
Mailing address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 292-9560
(503) 292-9510
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD23902
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278224
—
OR
Enumeration date
07/23/2006
Last updated
11/29/2021
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