Individual
MR. JACOB GOLDEN RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
63360 BRITTA ST, BEND, OR 97701-6869
(541) 318-4845
Mailing address
61324 BLAKELY RD UNIT 9, BEND, OR 97702-2270
(541) 385-7978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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