NPI 1740871409

Raul Daniel Covaciu

Practitioner Foster Care Agency Milwaukie, OR

Practice location

Address: 6416 SE Jack Rd, Milwaukie, OR 97222-2830
Phone: (503) 927-0489

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 519218 (OR)

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Registry record

NPI: 1740871409
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2021
Record last updated: 26 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.