Individual
DR. RAPHAEL MICAH BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD., OHSU, PORTLAND, OR 97239
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD. L579, OHSU, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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