Individual
MICHEAL DRAHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
12325 SW 174TH TER, BEAVERTON, OR 97007-2064
(503) 915-6858
Mailing address
12325 SW 174TH TER, BEAVERTON, OR 97007-2064
(503) 915-6858
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10013325
OR
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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