Individual
EMAAN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
Mailing address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA204343
OR
363AM0700X
Medical Physician Assistant
Primary
PA204343
OR
Other
Enumeration date
07/21/2021
Last updated
06/13/2022
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