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DR. RAISA PREMYSLER MD
NPI 1407908650
General Practice in Portland, OR

Active since January 17, 2007
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204(503) 988-3674(503) 988-6905 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Raisa Premysler Md NPPES

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

DR. RAISA PREMYSLER MD (NPI 1407908650) is an individual general practice provider in Portland, Oregon, licensed in Oregon (MD15738) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407908650
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. RAISA PREMYSLERCredential: MD
Location Address426 SW STARK ST, 8TH FLOORPortland, OR 97204-2347
Mailing Address421 Sw Oak St, 210Portland, OR 97204-1817 · (503) 988-3674 · Fax (503) 988-6905
Phone(503) 988-3674
Fax(503) 988-6905
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 18, 2009
✔ NPI 1407908650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · MD15738
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
426 SW STARK ST, Portland, OR 97204
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Other Identifiers 2

Medicare UPIND8640OR
Medicare ID-Type Unspecified01WCJHTEOR

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.

JULIE LIDDICOAT CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417
DR. STEVEN COLIN JACKSON MD
Family Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
KATHLEEN MARY GLOVER PNP
Nurse Practitioner (Pediatrics)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
ANNE T DALY FNP
Nurse Practitioner (Family)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
MARILYN P SMITH
Counselor (Professional)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
DR. RICHARD PAUL HOULE MD
Internal Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
CEARA MEGAN CARDER MSW
Social Worker (Clinical)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
TERESA BLANSHINE CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417

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 Raisa Premysler's NPI number?

The NPI number for Raisa Premysler is 1407908650. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Raisa Premysler located?

Raisa Premysler practices at 426 SW Stark St 8th Floor, Portland, OR 97204. The listed phone number is (503) 988-3674.

What is Raisa Premysler's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Raisa Premysler was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.