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Individual

MS. SUZANNE CAROL EMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11790 SW BARNES RD STE 140, PORTLAND, OR 97225-5938
(503) 643-2100
(503) 643-7300
Mailing address
11790 SW BARNES RD STE 140, PORTLAND, OR 97225-5938
(503) 643-2100
(503) 643-7300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201608996NP-PP
OR
363LF0000X
Family Nurse Practitioner
201808996NP-PP
OR

Other

Enumeration date
05/04/2017
Last updated
04/05/2022
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