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Miranda Drake

NPI 1801244041 · on the registry since 2016

Practice

Address
12155 Sw Tooze Rd
Sherwood, OR 97140
Phone
(503) 570-0147
Organisation at this address
Victory Academy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon