IndividualActive
Carl Riddick, M.D.
NPI 1093751372 · Pulmonary Disease Physician · Portland, OR
Provider details
- NPI number
- 1093751372
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD20646 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9427 Sw Barnes Rd Ste 296
Portland, OR 97225-6667
Phone: (503) 297-3778
Fax: (503) 297-7853
Street-level locationGet directions
Mailing address
847 Ne 19th Ave
Portland, OR 97232-2684
Additional practice locations (3)
- 879 Providence DrNewberg, OR 97132-7563Phone: (503) 297-3778Fax: (503) 297-7853
- 16770 Sw Edy Rd Ste 216Sherwood, OR 97140-9679Phone: (503) 297-3778Fax: (503) 297-7853
- 19250 Sw 65th Ave Ste 135Tualatin, OR 97062-7745Phone: (503) 692-8560Fax: (503) 692-8562
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.