Individual
EMILY JUSTUSSON RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7772
Mailing address
743 SW MAPLECREST CT, PORTLAND, OR 97219-6407
(845) 242-6856
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD195374
OR
Other
Enumeration date
07/09/2014
Last updated
12/10/2019
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