Individual
RHONDA RAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 NEWMARK AVE, COOS BAY, OR 97420-4704
(541) 707-7769
Mailing address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(541) 707-7769
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000106724
OHA
OR
Enumeration date
06/13/2022
Last updated
06/13/2022
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