Individual
MICHAEL J RAIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 S WAHANNA ROAD, PORTLAND, OR 97138-7735
(503) 717-7000
(503) 717-7476
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
(503) 717-7000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD23162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287465
—
OR
Enumeration date
08/29/2006
Last updated
03/29/2010
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