person
Mr. Emerson George Squiemphen
Driver in Warm Springs, Oregon
NPI 1861690729

Emerson George Squiemphen is a Driver based in Warm Springs, OR. Emerson George Squiemphen practices in Warm Springs, OR. The NPI Number for Emerson George Squiemphen is 1861690729 and holds a License No. (Oregon).

The current practice location address for Emerson George Squiemphen is 1270 Kotnum Road, Warm Springs, OR and can be reached out via phone at 541-553-1196 and via fax at 541-553-2135.

Location: 1270 Kotnum Road, Warm Springs, OR, 97761-1209
person
Provider Profile Details
NPI Number
1861690729
Provider Name
Emerson George Squiemphen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1270 Kotnum Road, Warm Springs, OR, 97761-1209
Phone Number
541-553-1196
Fax Number
541-553-2135
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273855 05 OR
institution
Provider Business Practice Location Address Details
Address
1270 Kotnum Road
City
State
Zip
97761
Phone Number
541-553-1196
Fax Number
541-553-2135
person
Provider Business Mailing Address Details
Address
1270 Kotnum Road
City
State
Zip
97761
Phone Number
541-553-1196
Fax Number
541-553-2135
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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