EMNET KABA

CLACKAMAS, OR
NPI1255200457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10052714)
Enumeration Date2025-11-04
Last Update Date2025-11-04
Business Address
EMNET KABA
12822 SE OTT ST
CLACKAMAS, OR 97015-8637
Phone number: 202-710-7011
Mailing Address
EMNET KABA
12822 SE OTT ST
CLACKAMAS, OR 97015-8637
Phone number: 202-710-7011