Razavi, Michael David

Razavi, Michael David is an individual health care provider with primary practice located at 2054 N Vancouver Ave , Portland OR 97227-1917. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Razavi, Michael David can be contacted via phone (503) 231-8164.

Contact Information

Primary practice address
2054 N Vancouver Ave Portland OR 97227-1917
Phone: (503) 231-8164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11-09-48 Oregon
Other Service Providers / Peer Specialist 175T00000X 15-PRC-004 Oregon

Profile Details

NPI number 1760850549
LBN Legal business name Razavi, Michael David
Credentials MPH, CADC I, PRC,
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 9th, 2015 - about 11 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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