The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-25

Community Based Residential Treatment Facility, Mental Illness Primary Specialty

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location May 25, 2026

Registered at 14924 SE 119TH AVE, CLACKAMAS, OR 970159241 (Tel: 5077203541)

📍

Updated Business Mailing Address May 25, 2026

Registered at 14924 SE 119TH AVE, CLACKAMAS, OR 970159241 (Tel: 5077203541)

✅

NPI Profile Active October 30, 2025

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 30, 2025

Registered at 12295 SE IMPERIAL CREST ST, HAPPY VALLEY, OR 970864326 (Tel: 5077203541)

📍

Business Mailing Address (Initial Record) October 30, 2025

Registered at 12295 SE IMPERIAL CREST ST, HAPPY VALLEY, OR 970864326 (Tel: 5077203541)

👤

Provider Name / Credentials (Initial Record) October 30, 2025

Recorded as MICHAEL RAGA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Community Based Residential Treatment Facility, Mental Illness

🟢

Initial NPI Registration & Enumeration October 29, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205705241

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 29, 2025

Last Update: May 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14924 Se 119th Ave

Clackamas, OR 970159241

Phone: 5077203541

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.