Individual
GARRETT DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 N MERIDIAN ST # V104, NEWBERG, OR 97132-2697
(503) 554-2370
Mailing address
414 N MERIDIAN ST # V104, NEWBERG, OR 97132-2697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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