Individual
EMMA CLAIRE REIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7700
Mailing address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202006505NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/20/2020
Last updated
08/25/2021
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