JAN RADZIK MD PC NPI 1295037968

NPI Information

  • NPI: 1295037968
  • Provider Name: JAN RADZIK, MD PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: JAN RADZIK, MD
  • Address: 349 SE BAKER ST
    MCMINNVILLE, OR
    ZIP 97128
  • Phone: (503) 472-9438

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NPI Details

JAN RADZIK, MD PC is a primary care clinic center in Mcminnville, OR. JAN RADZIK, MD PC NPI is 1295037968. The provider is registered as an organization entity type.
The provider Other Name Is Jan Radzik, Md.

The provider's business location address is:

349 SE BAKER ST
MCMINNVILLE, OR
ZIP 97128-039
Phone: (503) 472-9438
Fax: (503) 472-9439

The provider's authorized official is Jan None Radzik .
The authorized official title is President and has the following contact phone number (503) 472-9438.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareMD17050OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1029186MEDICAIDOREGON
2107435MEDICARE PINOREGON
3C46223MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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