Healthcare Provider Details

I. General information

NPI: 1255581096
Provider Name (Legal Business Name): CAITLIN RAASCH O'CONNOR ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 W 29TH AVE
DENVER CO
80211-3712
US

IV. Provider business mailing address

2530 W 29TH AVE
DENVER CO
80211-3712
US

V. Phone/Fax

Practice location:
  • Phone: 720-855-3160
  • Fax:
Mailing address:
  • Phone: 720-855-3160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: