MEDICARE: RADHIKA DESAI CADC II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	25-08-20613	OR

General Provider Information

NPI Number	:	1942187810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADHIKA DESAI CADC II

Provider Business Mailing Address
First Line	:	10022 SW 72ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-1103
Country	:	US
Telephone Number	:	503-560-2696
Fax Number	:

Provider Business Practice Location Address
First Line	:	10022 SW 72ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-1103
Country	:	US
Telephone Number	:	503-560-2696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	02/20/2026

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Directions to “ RADHIKA DESAI CADC II” Practice Location

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