Most Relevant Information
Provider Data
| NPI Number: | 1003477431 |
| Provider Name: | NOAH DRAKE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2019 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
730 BIDDLE RD
MEDFORD
OR
975046116
Practice Location Phone/Fax
| Phone: | 5414943800 |
| Fax: |
Provider Mailing Location
931 CHEVY WAY
MEDFORD
OR
975044127
Provider Mailing Phone/Fax
| Phone: | 5414141720 |
| Fax: |