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General NPI Number Information
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NPI Number | 1215013578
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Entity Type | Individual
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Provider Name | ANITA G RAO MD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 203 SE PARK PLAZA DR STE 140
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City | VANCOUVER
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State | WA
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Zip | 98684-5886
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Country | US
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Telephone | 360-449-7037
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST DEPT MLP ORTHO
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City | PORTLAND
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State | OR
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Zip | 97232-2023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 24111
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License Number State | OR
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