MICHELE RADDISH MD – NPI #1114116969
Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Health Care Provider Taxonomy Code for Pediatrics

NPI Profile
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MICHELE RADDISH is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1114116969 to MICHELE RADDISH on October 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0006X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Developmental - Behavioral Pediatrics

The NPI profile was previously updated about 6 years ago on Oct 05, 2020. 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 MICHELE RADDISH below.

NPI Profile for
MICHELE RADDISH

NPI Number

1114116969

Enumeration Date

Oct 17, 2007
(more than 18 years ago)

Entity Type

Type-1 Individual (Female)

Legal Name

MICHELE RADDISH

Credentials

Primary location

830 NE 47TH AVE
PROVIDENCE NEURODEVELOPMENTAL CENTER FOR CHILDREN
PORTLAND, OR 97213

Phone: (503) 216-2339

Mailing address

560 MILBURN CT
LAKE OSWEGO, OR 97034-1654

Phone: (503) 697-0958

Sole Proprietor

Yes

Updated

Oct 05, 2020

Certification Date

Oct 05, 2020

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
2080P0006X - Pediatrics / Developmental - Behavioral Pediatrics (Primary)	NM	MD2013-0227

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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