Individual
EMILY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 SE GLADSTONE ST # 12, PORTLAND, OR 97202-2962
(503) 849-2127
Mailing address
1209 NE LINDEN AVE APT 106, GRESHAM, OR 97030-3905
(208) 801-8943
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
E-10250173
OR
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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