Radcliffe, Michael A.

Radcliffe, Michael A. is an individual health care provider with primary practice located at 1181 Ramsey Ave , Grants Pass OR 97527-5821. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Radcliffe, Michael A. can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1181 Ramsey Ave Grants Pass OR 97527-5821
Phone: (541) 476-2373
Fax: (541) 476-1526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L1155 Oregon

Profile Details

NPI number 1679685036
LBN Legal business name Radcliffe, Michael A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679685036 NPPES
Oregon MEDICAID 096818

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