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Individual

DR. RAQUEL MARIE APODACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1881 NW 185TH AVE, SUITE 207, ALOHA, OR 97006-6822
(503) 690-8195
(503) 629-5806
Mailing address
1881 NW 185TH AVE, SUITE 207, ALOHA, OR 97006-6822
(503) 690-8195
(503) 629-5806

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21108
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159037
OR
Enumeration date
10/04/2006
Last updated
07/08/2007
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