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1275159006
EMMA BRYANNE BLAKE
CORVALLIS, OR
NPI
1275159006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR 201710072)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
EMMA BRYANNE BLAKE RN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
EMMA BRYANNE BLAKE RN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 541-234-9591
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