Provider Demographics
NPI:1972563989
Name:OENBRINK, RAYMOND J (DO)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:J
Last Name:OENBRINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE # 2A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4501
Mailing Address - Country:US
Mailing Address - Phone:828-785-1850
Mailing Address - Fax:828-785-1802
Practice Address - Street 1:417 BILTMORE AVE # 2A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4501
Practice Address - Country:US
Practice Address - Phone:828-785-1850
Practice Address - Fax:828-785-1802
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-01584207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD29289Medicare UPIN
NCNC2103AMedicare PIN