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Individual

EMERY CHARLES DOUVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5050 NE HOYT ST, SUITE 511, PORTLAND, OR 97213-2984
(503) 962-1020
(503) 962-1021
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00029081
WA
208600000X
Surgery Physician
MD17068
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD17068
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026497
OR
Enumeration date
08/11/2005
Last updated
06/04/2021
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