Healthcare Provider Details

I. General information

NPI: 1003911744
Provider Name (Legal Business Name): CYRUS RAFII MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 COLBY AVE MEDICAL STAFF OFFICE
EVERETT WA
98201-1665
US

IV. Provider business mailing address

PO BOX 3360
PORTLAND OR
97208-3360
US

V. Phone/Fax

Practice location:
  • Phone: 425-261-2000
  • Fax:
Mailing address:
  • Phone: 866-366-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number27181
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: