Individual
ALLEN RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-1636
(541) 388-1719
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 388-1636
(541) 388-1719
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD167662
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD167662
OR
207RI0011X
Interventional Cardiology Physician
T0899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060064202
RAILROAD MEDICARE
AZ
01
—
1Z5940
HEALTHNET
AZ
01
—
25-00516
UNITED HEALTHCARE
AZ
05
—
566408
—
AZ
01
—
AZ0886040
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/28/2005
Last updated
08/25/2025
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