Individual
GREGORY DAVID EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 NE DIVISION ST, SUITE103, GRESHAM, OR 97030-5813
(503) 661-4200
(503) 666-0566
Mailing address
2150 NE DIVISION ST, SUITE103, GRESHAM, OR 97030-5813
(503) 661-4200
(503) 666-0566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD15970
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027305
—
OR
Enumeration date
01/15/2007
Last updated
07/08/2007
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