Individual
MR. ERIC STEVEN IMLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
(503) 434-7335
Mailing address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
(503) 434-7335
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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