MR. Emerson George Squiemphen

NPI #1861690729 in Warm Springs, Oregon

Provider Information

NPI Number: 1861690729
Entity Type: Individual
Name: MR. Emerson George Squiemphen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1270 KOTNUM ROAD
City: Warm Springs
State: Oregon
ZIP Code: 97761
Phone: (541) 553-1196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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