Individual
EMIKO MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1515 NW 18TH AVE STE 400, PORTLAND, OR 97209-2516
(503) 228-1306
(503) 228-1307
Mailing address
13860 SW BURLWOOD ST, BEAVERTON, OR 97005-1103
(206) 658-7675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64940
OR
Other
Enumeration date
06/14/2023
Last updated
06/15/2023
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