Individual
EMMANUEL REY ARIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9427 SW BARNES RD, SUITE 495, PORTLAND, OR 97225-6652
(503) 216-0770
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200041207-RN
OR
163W00000X
Registered Nurse
RN-60257006
WA
363LF0000X
Family Nurse Practitioner
Primary
201406164NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500682030
—
OR
Enumeration date
04/18/2013
Last updated
03/10/2022
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