Emerson George Squiemphen
Driver in Warm Springs, OR. Individual provider (NPI-1).
NPI number1861690729
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861690729
- Entity type
- Individual (NPI-1)
- Name
- Mr. Emerson George Squiemphen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
1270 Kotnum RoadWarm Springs, OR 97761
Phone 541-553-1196 · Fax 541-553-2135
Mailing address
Po Box 1209Warm Springs, OR 97761-1209
Phone 541-553-1196 · Fax 541-553-2135
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