Organization
ANNE EMMETT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE DOLORES EMMETT LCSW (OWNER)
(503) 238-2405
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST STE 560, PORTLAND, OR 97205-2533
(503) 238-2405
(888) 974-3958
Mailing address
PO BOX 11860, PORTLAND, OR 97211-0860
(503) 238-0240
(888) 974-3958
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215904370
NPI
OR
Enumeration date
08/07/2022
Last updated
08/07/2022
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