Individual
NATHAN J RADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 NW 140TH PL, BEAVERTON, OR 97006-6160
(509) 939-6452
Mailing address
306 NW 140TH PL, BEAVERTON, OR 97006-6160
(509) 939-6452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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