Healthcare Provider Details

I. General information

NPI: 1013127075
Provider Name (Legal Business Name): MICHAEL DAVID STRAIKO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 NW 22ND AVE STE 200
PORTLAND OR
97210-3049
US

IV. Provider business mailing address

1040 NW 22ND AVE. SUITE 200
PORTLAND OR
97210
US

V. Phone/Fax

Practice location:
  • Phone: 503-413-8202
  • Fax: 503-413-6937
Mailing address:
  • Phone: 503-413-8202
  • Fax: 503-413-6937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberBB4745785
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD29182
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberMD29182
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: