Individual
RAUL A MIRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2664 CAMPUS DR, KLAMATH FALLS, OR 97601-1105
(541) 880-2881
(541) 883-2250
Mailing address
PO BOX 5109, KLAMATH FALLS, OR 97601-0119
(541) 882-1540
(541) 882-2583
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD19229
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020027915
RAILROAD MEDICARE
—
05
—
073143
—
OR
Enumeration date
07/06/2006
Last updated
12/12/2025
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