NPI 1366882318

Radu Pescarus, MD

Practitioner Preferred Provider Organization Portland, OR

Practice location

Address: 408 NW 12th Ave APT 304, Portland, OR 97209-2945
Phone: (971) 340-7005

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence FE161875 (OR)

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Registry record

NPI: 1366882318
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jul 2013
Record last updated: 4 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.