MOLLY RADIS PNP
NPI 1306228200
Nurse Practitioner - Pediatrics in Bend, OR

Active since June 26, 2015
2200 NE PROFESSIONAL CT, BEND, OR 97701(541) 389-6313(541) 389-8760 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Molly Radis Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY RADIS PNP (NPI 1306228200) is an individual pediatrics provider in Bend, Oregon, licensed in Oregon (201503488NP-PP) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1306228200
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMOLLY RADISCredential: PNP
Location Address2200 NE PROFESSIONAL CTBend, OR 97701-6063
Mailing Address2200 Ne Professional CtBend, OR 97701-6063 · (541) 389-6313 · Fax (541) 389-8760
Fax(541) 389-8760
Sole ProprietorNo
Enumeration DateJune 26, 2015
NPI 1306228200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 201503488NP-PP
2200 NE PROFESSIONAL CT, Bend, OR 97701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
2200 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Lactation Consultant, Non-RN
2200 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Dietitian, Registered
2200 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Nurse Practitioner (Family)
2200 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Radis's NPI number?

The NPI number for Molly Radis is 1306228200. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Molly Radis located?

Molly Radis practices at 2200 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 389-6313.

What is Molly Radis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Molly Radis was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.