Renee' Lorena Raschke, BS, QMHA, CADC 1,

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

17070SE McLoughlin Blvd.
Milwaukie, OR 97267

Phone

(503) 988-3747

Fax

(503) 988-3086

NPI assigned

Jan 31, 2007

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1316084049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 NE 162ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305016",
            "telephone_number": "503-380-7796",
            "fax_number": "503-344-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070SE MCLOUGHLIN BLVD.",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97267",
            "telephone_number": "503-988-3747",
            "fax_number": "503-988-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHKE",
        "first_name": "RENEE'",
        "middle_name": "LORENA",
        "name_prefix": "Ms.",
        "credential": "BS, QMHA, CADC 1,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-11-46",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Ramos
• Jasudha Ranabhat, NP
• Benjamin D Randolph, CADCIII
• Jennifer Randolph, CADC-II, CIP, CAI-II
• Keaton Randolph
• Carol Rasmusen
• Jessica D Raymond, LMT
• Ivy Rayn
• Joshua D Reagan, MD
• Steven J Redmond, MD

• Community Health Worker in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.