Provider Demographics
NPI:1942187810
Name:DESAI, RADHIKA (CADC II)
Entity type:Individual
Prefix:
First Name:RADHIKA
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:RADHIKA
Other - Middle Name:DESAI
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CADC II
Mailing Address - Street 1:8815 SW 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-3356
Mailing Address - Country:US
Mailing Address - Phone:503-560-2696
Mailing Address - Fax:
Practice Address - Street 1:8815 SW 52ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-3356
Practice Address - Country:US
Practice Address - Phone:503-560-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25-08-20613101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)