RADIANCEMD – NPI #1952631830
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

RADIANCEMD is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1952631830 to RADIANCEMD on December 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RADIANCEMD” is a dba name, the actual legal business name for this organization is NEW LIFE MEDICAL CONSULTANTS. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 3 years ago on Aug 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADIANCEMD below.

NPI Profile for
NEW LIFE MEDICAL CONSULTANTS

NPI Number
1952631830
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW LIFE MEDICAL CONSULTANTS
Doing Business As (dba): RADIANCEMD
Other name(s)
All associated names:
Doing Business As (dba)
RADIANCEMD
Former Legal Business Name
Whole Person Centered Wellness
Primary location
14126 NW DUNBAR LN
PORTLAND, OR 97231
Phone: (503) 816-3091 Fax:
Mailing address
3300 NW 185TH AVE # 384
PORTLAND, OR 97229-3406
Phone: (503) 816-3091 Fax:
Organization Subpart
No
Authorized Official
LESLIE SANCHEZ-GOETTLER
MEDICAL DIRECTOR
Phone: (503) 816-3091
Updated
Certification Date
Jul 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NM MD2009-0469

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.