# LYNN ALICE EMMONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynn Emmons Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134656093
- **Authorized official:** LYNN ALICE EMMONS LCSW, RN, CADCI (OWNER)
- **Authorized official phone:** (971) 930-2586

## Contact information

- **Practice address:** 443 NE KNOTT ST, PORTLAND, OR 97212-3108
- **Practice address phone:** (971) 930-2586
- **Practice address fax:** (888) 972-1173
- **Mailing address:** 3439 NE SANDY BLVD \# 169, PORTLAND, OR 97232-1959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L6659 | OR | Yes |

## Other

- **Enumeration date:** 05/22/2017
- **Last updated:** 05/22/2017