Individual
AMY MAREE EMCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3517 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3768
(541) 768-4280
(541) 768-4931
Mailing address
777 NW 9TH ST STE 102, CORVALLIS, OR 97330-6169
(541) 768-6771
(541) 768-9771
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-D-10165975
STATE LICENSE
OR
05
—
PENDING
—
OR
Enumeration date
08/31/2017
Last updated
08/31/2017
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