Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairoz Radtke, PA-C

Individual provider Physician Assistant · NPI 1114207032

Fairoz Radtke, PA-C is a Physician Assistant in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

960 Liberty St SE Ste 170
Salem, OR 97302-4149
Phone: (815) 578-6109
Fax: (312) 268-5053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 219833 (OR)

Record details

NPI number1114207032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

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