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1497300164
ERIC DRAKE
DALLAS, OR
NPI
1497300164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ND 2292)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
ERIC DRAKE DPT
210 W ELLENDALE AVE STE 100
DALLAS, OR 97338-1790
Phone number: 503-623-2433
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Mailing Address
ERIC DRAKE DPT
4025 CHERRY AVE NE
KEIZER, OR 97303-4859
Phone number: 503-390-9009
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