Individual
EMMA ROSE LAUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3552 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 727-1592
Mailing address
3552 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 727-1592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1354508
—
OR
Enumeration date
09/27/2021
Last updated
09/27/2021
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