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Individual

STEPHEN EMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(971) 271-6313

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142412RN
OR

Other

Enumeration date
12/14/2012
Last updated
12/14/2012
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