Individual
STEPHANIE B J EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1046 6TH AVENUE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
(541) 812-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22051
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134177
—
OR
Enumeration date
01/25/2006
Last updated
11/03/2020
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