Individual
EMMA ELLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD197837
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG182669
OR
Other
Enumeration date
06/01/2017
Last updated
03/25/2021
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