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Contact Information

MIRANDA DRAKE
12155 SW TOOZE RD
SHERWOOD, OR97140-8441
 Phone: 503-570-0147
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for MIRANDA DRAKE · (Female)

NPI Number 1801244041
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2016
Last updated 05/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # RBT-15-05793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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