Individual
MS. EMILY RIANE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 239-1248
Mailing address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 731-3971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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