Individual
COLBY S RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1130 SW MORRISON ST STE 250, PORTLAND, OR 97205-2213
(503) 380-0636
Mailing address
2710 SW TALBOT RD, PORTLAND, OR 97201-1671
(503) 380-0636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200650080NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/22/2006
Last updated
01/31/2017
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