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Individual

CAROLYN EMERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124-9224
(503) 848-5861
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD208749
OR
207Q00000X
Family Medicine Physician
Q6625
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3605883-01
TX
05
500803203
OR
Enumeration date
05/22/2013
Last updated
04/13/2022
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