Individual
MR. EMMANUEL CUI REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10330 SE 32ND AVE STE 110, MILWAUKIE, OR 97222-6596
(503) 513-1300
(503) 513-1310
Mailing address
10330 SE 32ND AVE STE 110, MILWAUKIE, OR 97222-6596
(503) 513-1300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201803440LPN
OR
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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