Individual
PAUL E EMMANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 574-6139
(509) 574-6138
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000770
—
WA
Enumeration date
07/21/2006
Last updated
10/20/2023
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