Provider Demographics
NPI:1760511521
Name:EMERY, DANIEL M (MA, ATC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:EMERY
Suffix:
Gender:M
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78754 POWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-6830
Mailing Address - Country:US
Mailing Address - Phone:541-377-9088
Mailing Address - Fax:
Practice Address - Street 1:600 S 1ST ST
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2305
Practice Address - Country:US
Practice Address - Phone:541-677-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist