Individual
EMILY KATE ROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, RNAS-C
Contact information
Practice address
1515 NW 18TH AVE STE 200, PORTLAND, OR 97209-2516
(503) 542-4888
(503) 542-2813
Mailing address
33808 SLAVENS RD, WARREN, OR 97053-9517
(503) 522-7388
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200441371RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1765478
CNOR
—
01
—
200441371RN
OREGON NURSING LICENSE
OR
01
—
R80383
RNAS-C
—
Enumeration date
02/02/2023
Last updated
12/31/2023
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