Individual
AUDREY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
441 NW ELKS DR STE 100, CORVALLIS, OR 97330-3744
(541) 768-4950
Mailing address
441 NW ELKS DR, CORVALLIS, OR 97330-3744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10028466
OR
Other
Enumeration date
08/15/2024
Last updated
12/20/2024
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