Individual
EMILY BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
Mailing address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201807620
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
201807620NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
02/03/2026
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