Provider Demographics
NPI:1356776454
Name:RAAF, JOHN HART (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HART
Last Name:RAAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0225 SW MONTGOMERY ST
Mailing Address - Street 2:#5
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5159
Mailing Address - Country:US
Mailing Address - Phone:503-333-5969
Mailing Address - Fax:
Practice Address - Street 1:12501 FAIRHILL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-1017
Practice Address - Country:US
Practice Address - Phone:503-333-5969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-08
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0516832086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology