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NPI Code Detail

MEDICARE: RAQUEL BABCOCK

MEDICARE: RAQUEL BABCOCK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2172V00000XCommunity Health Worker
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1689375867
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL BABCOCK
Provider Business Mailing Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number : 971-888-4607
Provider Business Practice Location Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number : 971-888-4607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2023
Last Update Date : 11/11/2025

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Directions to “ RAQUEL BABCOCK ” Practice Location

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