Individual
VIRGINIA MARIE RAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 NE 3RD ST, MCMINNVILLE, OR 97128-4433
(503) 722-8205
Mailing address
PO BOX 481, CARLTON, OR 97111-0481
(503) 334-6263
(503) 585-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
01/07/2020
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