Individual
DR. PAUL MICHAEL RAETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 653-6440
Mailing address
4939 SW 18TH DR, PORTLAND, OR 97239-2100
(503) 244-4421
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
13131
OR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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