Individual provider · Type 1 NPI

Raphael Micah Byrne, MD

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

NPI number 1457779233 Active

Practice location

3181 SW Sam Jackson Park Rd., Ohsu
Portland, OR 97239

Call (503) 494-8211 Map

Mailing address

3181 SW Sam Jackson Park Rd. L579, Ohsu
Portland, OR 97239

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 1457779233

Raphael Micah Byrne, MD's National Provider Identifier is 1457779233, issued on Mar 31, 2014. 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 Mar 31, 2014.