Individual
EMILY GRACE ATHARINIKROUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 HICKORY ST NW STE 303, ALBANY, OR 97321-1700
(541) 812-5275
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201250097NP
OR
Other
Enumeration date
07/19/2012
Last updated
06/20/2023
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