Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 234212 | NY |
Y | 207VG0400X | Gynecologist | MD126222 | OR |
NPI | 1043308430 |
---|---|
Provider Name | Dr. Maria M. Emerson |
First Address | Bend, OR 97701-6051 |
Second Address | Bend, OR 97701-6051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 05/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02618702 | (05) | NY |
500610518 | (05) | OR |
I22893 | (02) | NY |