Raul Daniel Covaciu

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

519218 Issued in OR

Practice address

6416 SE Jack Rd
Milwaukie, OR 97222-2830

Phone

(503) 927-0489

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1740871409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 SE JACK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222830",
            "telephone_number": "503-927-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 SE JACK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222830",
            "telephone_number": "503-927-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVACIU",
        "first_name": "RAUL",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "OR",
            "license": "519218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519218",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxana Cortez
• Mary Cosentino-Cathey, LCSW
• Melissa Jones Couch, MS CCC SLP
• County of Clackamas (North Clackamas School District 12)
• County of Clackamas Office of County Auditor (Hilltop Behavioral Health Center)
• Stacey Coxey
• Rollylynn Orosio Coyoca, RPT
• Erin Lee Cranford
• Gabriel Godkin Cranley, OTR
• Krista Creevan

• Foster Care Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Foster Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.