Individual
EMMA BARDAGJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAE
Contact information
Practice address
2453 NE PACIFIC ST, PORTLAND, OR 97232-2330
(503) 479-5439
Mailing address
2453 NE PACIFIC ST, PORTLAND, OR 97232-2330
(503) 479-5439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CAE-P-10219281
OR
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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