Individual
EMAD SALAM ABOUJAOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Mailing address
18915 NW ATHENA ST, PORTLAND, OR 97229-2927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01060
OR
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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