Individual
STEPHANIE NICOLE EMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
609 HICKORY ST NW STE 160, ALBANY, OR 97321
(541) 967-3097
Mailing address
609 HICKORY ST NW STE 160, ALBANY, OR 97321-1766
(541) 967-3097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2907
TN
152W00000X
Optometrist
Primary
3346
OR
Other
Enumeration date
09/24/2009
Last updated
10/15/2018
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