Individual provider · Type 1 NPI

Sophia C. Raevouri

Psychiatric/Mental Health Nurse Practitioner · Vancouver, WA

NPI number 1689325144 Active

Practice location

752 Officers Row
Vancouver, WA 98661-3845

Fax (360) 938-5632

Mailing address

2807 N Pioneer Canyon Dr
Ridgefield, WA 98642-7524

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61370244 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1689325144

Sophia C. Raevouri's National Provider Identifier is 1689325144, issued on Jan 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Vancouver, WA. The record was last updated on May 7, 2025.