Raquel Marie Apodaca, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD21108 Issued in OR

Practice address

1881 NW 185TH Ave
Suite 207
Aloha, OR 97006-6822

Phone

(503) 690-8195

Fax

(503) 629-5806

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tanasbourne Pediatrics, LLC

  • Pediatrics Physician
  • Beaverton, OR
  • NPI 1245436385
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346336906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NW 185TH AVE",
            "address_2": "SUITE 207",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970066822",
            "telephone_number": "503-690-8195",
            "fax_number": "503-629-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NW 185TH AVE",
            "address_2": "SUITE 207",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970066822",
            "telephone_number": "503-690-8195",
            "fax_number": "503-629-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA",
        "first_name": "RAQUEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD21108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159037",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aloha Physical Therapy Clinic
• Collin Alteneder
• Irene Amezcua
• Samuel Robert Anderson
• Monica Marie Andrade
• Derek Araujo, BSW
• Amy A Atterberry
• Back and Body Works, LLC
• Alex Bacon, BS
• Jennifer A Bacon

• Pediatrics Physician in Aloha, OR
• Providers in Aloha, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.