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Organization
LYNN ALICE EMMONS
Active
Organization
LYNN ALICE EMMONS
Active
Other names
Lynn Emmons Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN ALICE EMMONS LCSW, RN, CADCI (OWNER)
(971) 930-2586
Entity
Organization
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(971) 930-2586
(888) 972-1173
Mailing address
3439 NE SANDY BLVD # 169, PORTLAND, OR 97232-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6659
OR
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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