Individual
EMMA KINROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 ELROD AVE, COOS BAY, OR 97420-1532
(541) 751-7948
Mailing address
1036 S 5TH ST, COOS BAY, OR 97420-1204
(512) 299-4505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17253
OR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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