Individual provider Active NPI

Isabelle Valerie Baillargeon-Radliff

  • Specialist
  • Portland, OR
National Provider Identifier
1609407378
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BAP-E-10274541 Issued in OR
Practice address
1635 SE Malden St Ste C
Portland, OR 97202-6065
Phone
(470) 587-2526
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BAP-E-10274541 OR Primary

Addresses

Primary practice location

1635 SE Malden St Ste C
Portland, OR 97202-6065

Mailing address

10300 SE Waverly CT Apt 101
Milwaukie, OR 97222-7457
Phone (470) 587-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1609407378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SE WAVERLY CT APT 101",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227457",
            "telephone_number": "470-587-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 SE MALDEN ST STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026065",
            "telephone_number": "470-587-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLARGEON-RADLIFF",
        "first_name": "ISABELLE",
        "middle_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10274541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.