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Individual

ROBERT J. RAISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3301 SQUALICUM PKWY, BELLINGHAM, WA 98225-1919
(360) 788-8222
(360) 788-7759
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00026289
WA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD00026289
WA
207RX0202X
Medical Oncology Physician
MD00026289
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1052190
WA
01
8755RA
REGENCE BLUE SHIELD
WA
Enumeration date
10/23/2006
Last updated
03/27/2019
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