Individual
KALA RAJELLE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30050 SW TOWN CENTER LOOP W, WILSONVILLE, OR 97070-7596
(503) 685-9841
Mailing address
28784 SW ASHLAND LOOP APT 203, WILSONVILLE, OR 97070-8796
(503) 899-9428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17594
OR
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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