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Organization
EMILY GANNAWAY, LLC
Active
Organization
EMILY GANNAWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GANNAWAY ND (NATUROPATHIC DOCTOR/PCP)
(201) 213-2112
Entity
Organization
Contact information
Practice address
17933 NW EVERGREEN PKWY, SUITE 285, BEAVERTON, OR 97006-7659
(503) 828-9265
Mailing address
1507 9TH ST, APT 12, OREGON CITY, OR 97045-2073
(201) 213-2112
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3092
OR
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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