Raymond Bracis, Md | |
1015 Nw 22nd Ave #r200 Portland OR 97210 | |
(503) 413-8258 | |
Not Available |
Full Name | Raymond Bracis, Md |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 1015 Nw 22nd Ave #r200, Portland, Oregon |
Authorized Official Name and Position | Raymond B Bracis (OWNER) |
Authorized Official Contact | 5032401844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Raymond Bracis, Md 8316 N Lombard St Pmb#324 Portland OR 97203 Ph: (503) 240-1844 | Raymond Bracis, Md 1015 Nw 22nd Ave #r200 Portland OR 97210 Ph: (503) 413-8258 |
NPI Number | 1174745418 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174745418 | NPI | - | NPPES |
017418 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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