Individual
RAVID M RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
234 SE 45TH AVE, PORTLAND, OR 97215-1014
(503) 239-5242
Mailing address
234 SE 45TH AVE, PORTLAND, OR 97215-1014
(503) 239-5242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
271412
OR
Other
Enumeration date
03/20/2007
Last updated
07/12/2010
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