Roxanda Radomsky, R.N.
Registered Nurse, Psych/Mental Health in White City, OR. Individual provider (NPI-1).
NPI number1285962316
StatusActive
Last updated in NPPESDec 1, 2009
Details
- NPI
- 1285962316
- Entity type
- Individual (NPI-1)
- Name
- Roxanda Radomsky
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2009
- Last updated
- Dec 1, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 200041141RN | OR | Yes |
Practice location
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Mailing address
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
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