Individual
MS. EMMA LEIGH BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17020 SW UPPER BOONES FERRY RD STE 300, PORTLAND, OR 97224-7078
(503) 462-5445
Mailing address
PO BOX 2398, LAKE OSWEGO, OR 97035-0674
(503) 462-5445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19895
OR
225700000X
Massage Therapist
MA60328559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972849750
NPI
WA
Enumeration date
12/23/2012
Last updated
01/31/2019
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