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Contact Information

RAHUL RAGHAVAN, MD
707 SW WASHINGTON ST STE 700
PORTLAND, OR97205-3523
 Phone: 503-299-9906
 Fax: 503-225-9002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAHUL RAGHAVAN · (Male)

NPI # 1659634707
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2012
Last updated 03/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD183223
  • PA License # MT201096
  • OR Medicaid 500731971
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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