Allred, Raphael M
Allred, Raphael M is an individual health care provider with primary practice located at 2855 Nw Crossing Dr Suite 102, Bend OR 97701-7049. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allred, Raphael M can be contacted via phone (541) 383-8066.Contact Information
Primary practice address
2855 Nw Crossing Dr Suite 102
Bend OR 97701-7049
Phone: (541) 383-8066
Fax: (541) 383-3066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD23482 | Oregon |
Profile Details
| NPI number | 1861488157 |
|---|---|
| LBN Legal business name | Allred, Raphael M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 18th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861488157 | NPPES |
| Oregon | MEDICAID | 181807 |
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