Individual
MRS. EMMA KRISTIN LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
125 NE KILLINGSWORTH ST, PORTLAND, OR 97211-2625
(502) 223-3741
(503) 285-0037
Mailing address
125 NE KILLINGSWORTH ST, PORTLAND, OR 97211-2625
(502) 223-3741
(503) 285-0037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7872
OR
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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