Individual
MS. KAREN LYNN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PVO1, DEPT. OF OTOLARYNGOLOGY, PORTLAND, OR 97239-3011
(503) 494-5947
(503) 494-4631
Mailing address
3181 SW SAM JACKSON PARK RD, PVO1, DEPT. OF OTOLARYNGOLOGY, PORTLAND, OR 97239-3011
(503) 494-5947
(503) 494-4631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11410
OR
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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