Individual
DR. RAPHAEL M ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 NW CROSSING DR, SUITE 102, BEND, OR 97701-7049
(541) 383-8066
(541) 383-3066
Mailing address
2855 NW CROSSING DRIVE, SUITE 102, BEND, OR 97701
(541) 383-8066
(541) 383-3066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23482
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181807
—
OR
Enumeration date
09/22/2005
Last updated
07/18/2011
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