Individual
EMILY TINGUELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 747-0655
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA206703
OR
Other
Enumeration date
07/25/2019
Last updated
10/22/2021
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