Michael David Razavi, MPH, CADC I, PRC, is a
Peer Specialist based in Portland, Oregon. Michael David Razavi is licensed to practice in Oregon (license number 15-PRC-004) and his current practice location is
2054 N Vancouver Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 231-8164.
NPI number for Michael David Razavi is 1760850549 and his current mailing address is 2054 N Vancouver Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760850549.
Healthcare Provider's Profile
Full Name | Michael David Razavi |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 2054 N Vancouver Ave, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760850549
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 09/09/2015
Medical Identifiers
Medical identifiers for Michael David Razavi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760850549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 11-09-48 (Oregon) | Secondary |
175T00000X | Peer Specialist | 15-PRC-004 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael David Razavi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael David Razavi, MPH, CADC I, PRC, 2054 N Vancouver Ave, Portland, OR 97227-1917 Ph: (503) 231-8164 | Michael David Razavi, MPH, CADC I, PRC, 2054 N Vancouver Ave, Portland, OR 97227-1917 Ph: (503) 231-8164 |
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