Individual
EMILY C GANNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
17933 NW EVERGREEN PKWY STE 220, BEAVERTON, OR 97006-7660
(971) 228-5756
Mailing address
19700 FALCON DR, OREGON CITY, OR 97045-8956
(971) 228-5756
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3092
OR
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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