Provider Demographics
NPI:1831877869
Name:OE, EMILY KATHERINE (PA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERINE
Last Name:OE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2550 W BARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-5655
Mailing Address - Country:US
Mailing Address - Phone:208-521-4704
Mailing Address - Fax:
Practice Address - Street 1:2550 W BARBERRY LN
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-5655
Practice Address - Country:US
Practice Address - Phone:208-521-4704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant