Individual
EMILY TESS DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4824 NE 42ND AVE # 177, PORTLAND, OR 97218-1661
(503) 758-9588
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8220
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD182181
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2013
Last updated
09/28/2020
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