Individual
RAUL DANIEL COVACIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6416 SE JACK RD, MILWAUKIE, OR 97222-2830
(503) 927-0489
Mailing address
6416 SE JACK RD, MILWAUKIE, OR 97222-2830
(503) 927-0489
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
519218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519218
—
OR
Enumeration date
01/26/2021
Last updated
01/26/2021
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