Individual provider · Type 1 NPI

Raleigh Cronrath

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1023490299 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Mailing address

De Paul Treatment Centers, PO Box 3007
Portland, OR 97208

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023490299

Raleigh Cronrath's National Provider Identifier is 1023490299, issued on Jun 24, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 24, 2015.