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1124529243
EMMANUEL DWOMOH-TWENEBOAH
PORTLAND, OR
NPI
1124529243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OR 201710153NP-PP)
Enumeration Date
2018-02-23
Last Update Date
2018-03-03
Business Address
EMMANUEL DWOMOH-TWENEBOAH AGACNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9000
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Mailing Address
EMMANUEL DWOMOH-TWENEBOAH AGACNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4373
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