Individual
ERIC DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
210 W ELLENDALE AVE STE 100, DALLAS, OR 97338-1790
(503) 623-2433
(503) 623-2196
Mailing address
4025 CHERRY AVE NE, KEIZER, OR 97303-4859
(503) 390-9009
(503) 623-2196
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2292
ND
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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