Individual
RAQUEL F SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 STATE ST, MEDFORD, OR 97504-8458
(248) 318-8973
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8458
(248) 318-8973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
187062
OR
363A00000X
Physician Assistant
2156
OK
363A00000X
Physician Assistant
3020
CO
Other
Enumeration date
06/30/2010
Last updated
08/01/2019
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