Individual
EMILY KATHRYN GOERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6400 SE LAKE ROAD, SUITE 130, ANESTHESIA ASSOCIATES NORTHWEST, PORTLAND, OR 97222
(503) 594-1774
(503) 594-1775
Mailing address
5741 SW MILES ST, PORTLAND, OR 97219
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201160047CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
R 184004-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
02/18/2011
Last updated
02/28/2014
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