Individual
PRAVEENA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
185 N 4TH ST, SAINT HELENS, OR 97051-1535
(503) 397-5211
Mailing address
185 N 4TH ST, SAINT HELENS, OR 97051-1535
(503) 397-5211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201401777RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN60466359
WA
Other
Enumeration date
08/05/2014
Last updated
07/01/2016
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