Organization
RAYMOND BRACIS, MD
Active
Organization
RAYMOND BRACIS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND B BRACIS MD (OWNER)
(503) 240-1844
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE #R200, PORTLAND, OR 97210
(503) 413-8258
Mailing address
8316 N LOMBARD ST PMB#324, PORTLAND, OR 97203
(503) 240-1844
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017418
—
OR
Enumeration date
05/03/2007
Last updated
08/22/2020
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