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Organization

WRAZEN & RASH PC, PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN MICHAEL RASH M.D. (OWNER/PHYSICIAN)
(541) 265-5362
Entity
Organization

Contact information

Practice address
775 SW 9TH STREET, ANNEX A, NEWPORT, OR 97365
(541) 265-5362
(541) 265-9304
Mailing address
775 SW 9TH STREET, ANNEX A, NEWPORT, OR 97365
(541) 265-5362
(541) 265-9304

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD17873
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
073994
OR
Enumeration date
05/21/2009
Last updated
05/21/2009
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