Individual
MRS. EMMA PEARSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
Mailing address
7627 N MISSISSIPPI AVE, PORTLAND, OR 97217-1353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201341403RN
OR
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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