Individual
MR. EMAD ELDIN GHALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(458) 210-3543
Mailing address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10126326
OR
Other
Enumeration date
08/07/2017
Last updated
01/06/2023
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