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Individual

DEREK D. RAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2700 SE STRATUS AVE, SUITE 303, MCMINNVILLE, OR 97128-6255
(503) 435-4520
(503) 474-9430
Mailing address
2700 SE STRATUS AVE, SUITE 303, MCMINNVILLE, OR 97128-6255
(503) 435-4520
(503) 474-9430

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
50043
CO
207X00000X
Orthopaedic Surgery Physician
ML20008591
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD158150
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64826724
CO
Enumeration date
08/20/2006
Last updated
10/25/2012
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