Individual
MR. EMILY RAE GUNESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
7111 NE GLISAN ST, PORTLAND, OR 97213-5519
(503) 720-1114
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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