Individual
EMILY MAKAIAH WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2859 STATE ST STE 103, MEDFORD, OR 97504
(541) 282-6580
(541) 326-0361
Mailing address
2859 STATE ST STE 103, MEDFORD, OR 97504-8495
(541) 282-6580
(541) 326-0361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150408
OR
Other
Enumeration date
04/16/2010
Last updated
01/17/2019
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