Individual
MIRCEA S. RACHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1813 W HARVARD AVE, SUITE 241, ROSEBURG, OR 97471-2752
(541) 673-5579
(541) 673-0576
Mailing address
2750 W HARVARD AVE, ROSEBURG, OR 97471-2608
(541) 673-8988
(541) 672-8103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24593
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD24593
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227345
—
OR
Enumeration date
12/19/2005
Last updated
06/23/2021
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