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

Jack Radcliffe

Individual provider Behavior Technician · NPI 1780331967

Jack Radcliffe is a Behavior Technician in Portland, Oregon. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

7935A SE Raymond St
Portland, OR 97206-4261
Phone: (951) 551-6545
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence F2433504 (CA)

Record details

NPI number1780331967
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2022
Last updated in NPPESNovember 7, 2025
Certification dateMarch 7, 2022
Mailing address912 Ne Kelly Ave, Gresham, OR 97030-5629

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