Julie Carol Radostitz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD18887 Issued in OR

Practice address

0615 SW Palatine Hill Rd
Portland, OR 97219-7879

Phone

(503) 768-7165

Fax

(503) 768-7167

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services Oregon

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Portland, OR
  • NPI 1396818993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184745929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 SW ROSEWOOD WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251370",
            "telephone_number": "503-297-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0615 SW PALATINE HILL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197879",
            "telephone_number": "503-768-7165",
            "fax_number": "503-768-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSTITZ",
        "first_name": "JULIE",
        "middle_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD18887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Radke, PHARMD
• James Radley
• Lauren Radley, RN
• Elizabeth Rado
• Rachel-Domenika Radonich, LMT
• Tara Radsliff, LAC
• Greggory Timothy Radspinner
• Edwin Paul Radtke Jr., DMD
• Kory Radul
• Ajna Rae

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.