| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SOPHIA C RAEVOURI | 1689325144 | 2022-01-15 |
Sophia C Raevouri is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689325144. Registration indicates Sophia C Raevouri is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Sophia C Raevouri |
| Practice Office Address | 6926 NE FOURTH PLAIN BLVD VANCOUVER, WA US |
| Practice Office Telephone | 3609933000 |
| Mailing Address | 9 VICOLO LOREN HENDERSON, NV 890113193 US |
| Business Telephone | 6268998567 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP61370244
WA |