MARIAH JEANNE RACICOT MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1205332517- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-6176
- Fax
- (503) 494-6152
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: OR #MD211915