Individual
EMMA SUZUKI MURUGAVERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 GEARY ST SE STE 200, ALBANY, OR 97322-6842
(541) 812-5570
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG194050
OR
Other
Enumeration date
04/17/2019
Last updated
09/16/2022
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