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1962408526

NPI Code Detail

MEDICARE: ALLEN RAFAEL MD

MEDICARE: ALLEN RAFAEL MD

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
1	207RC0000X	Cardiovascular Disease Physician	MD167662	OR
2	207RI0011X	Interventional Cardiology Physician	T0899	TX
3	207RI0011X	Interventional Cardiology Physician	MD167662	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	060064202	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25-00516	OTHER	AZ	UNITED HEALTHCARE
2	1Z5940	OTHER	AZ	HEALTHNET
3	AZ0886040	OTHER	AZ	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962408526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN RAFAEL MD

Provider Business Mailing Address
First Line	:	PO BOX 5579
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97708-5579
Country	:	US
Telephone Number	:	541-388-1636
Fax Number	:	541-388-1719

Provider Business Practice Location Address
First Line	:	2500 NE NEFF RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6015
Country	:	US
Telephone Number	:	541-388-1636
Fax Number	:	541-388-1719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/25/2025

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Directions to “ ALLEN RAFAEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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