Individual
EMMANUEL OKENYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1937 W HARVARD AVE, ROSEBURG, OR 97471-2720
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO198565
OR
207R00000X
Internal Medicine Physician
R4495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500778135
—
OR
Enumeration date
05/12/2017
Last updated
06/12/2020
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