Doctor Name: | SALMA G NEMEH |
NPI Number: | 1346438504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA01276 |
Business Practice Address: | 685 Evergreen Rd Woodburn, OR - 970712910 |
Business Phone Number: | 5039822212 |
Business Fax Number: | 5039822214 |
Mailing Address: | 15404 Se Daffodil Pl, CLACKAMAS |
State: | OR |
Postal Code: | 970157679 |
Phone Number: | 6103607392 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 01/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA01276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |