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Individual

EMILY MAY ARBUCKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4920 N INTERSTATE AVE, PORTLAND, OR 97217-3653
(503) 215-3300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213291
OR
363AM0700X
Medical Physician Assistant
15-02126
KS

Other

Enumeration date
09/25/2018
Last updated
04/21/2023
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