Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD178877 | OR |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD178877 | OR |
NPI | 1265794697 |
---|---|
Provider Name | Emily Claire Looney |
First Address | Corvallis, OR 97339-1188 |
Second Address | Albany, OR 97322-6842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 28/01/2021 |