Mikaela Lea Rodriguez, MD
Psychiatry & Neurology, Psychiatry in Portland, OR. Individual provider (NPI-1).
NPI number1043674401
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1043674401
- Entity type
- Individual (NPI-1)
- Name
- Mikaela Lea Rodriguez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2016
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD19950 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8211
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone 503-494-6176 · Fax 503-494-6152
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