Individual
COLIN RAFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1475 MOUNT HOOD AVE STE 120, WOODBURN, OR 97071-9196
(503) 982-2174
Mailing address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(503) 554-2521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228518
OR
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
02/16/2026
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