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Individual
DR. RACHAEL MARIE CARRENO
Active
Individual
DR. RACHAEL MARIE CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A24745
CA
207Q00000X
Family Medicine Physician
DO203600
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11019802A
STATE LICENSE
IN
01
—
20A24745
CA MEDICAL LICENSE
CA
01
—
DO203600
STATE LICENSE
OR
Enumeration date
04/07/2017
Last updated
07/02/2026
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