TREVA SAKURA DRAKE

PORTLAND, OR
NPI1932749173
Former NameTREVA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201909401RN)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
TREVA SAKURA DRAKE
1111 NW NAITO PKWY
PORTLAND, OR 97209-2596
Phone number: 503-488-7720
Mailing Address
TREVA SAKURA DRAKE
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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