Individual
EMILY W PUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19260 SW 65TH AVE STE 340, TUALATIN, OR 97062-5710
(503) 691-9777
(503) 692-6736
Mailing address
19260 SW 65TH AVE STE 340, TUALATIN, OR 97062-5710
(503) 691-9777
(503) 692-6736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD157570
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
06/01/2021
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