Individual
MARTHA EMHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
540 SE 71ST AVE, PORTLAND, OR 97215-2132
(317) 753-1718
Mailing address
540 SE 71ST AVE, PORTLAND, OR 97215-2132
(317) 753-1718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006445N1
OR
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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