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Individual

EMMELINE MIMI WIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
310 N VILLA RD STE 103, NEWBERG, OR 97132-1886
(503) 215-4646
Mailing address
14278 SW LUKAR CT, TIGARD, OR 97223-2045

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
24053797
OR

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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