Provider Demographics
NPI:1922529395
Name:BARAN, RACHAEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:BARAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 DANCONIA DR
Mailing Address - Street 2:
Mailing Address - City:TRAIL
Mailing Address - State:OR
Mailing Address - Zip Code:97541-9702
Mailing Address - Country:US
Mailing Address - Phone:503-260-9985
Mailing Address - Fax:503-260-9985
Practice Address - Street 1:84 CENTENNIAL LOOP
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7909
Practice Address - Country:US
Practice Address - Phone:541-255-2681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR334458225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics