Individual
RAFAEL RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
032829
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2022
Last updated
12/23/2024
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