Individual
EMMA SORNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 610-5722
Mailing address
211 SE 126TH AVE APT 8, PORTLAND, OR 97233-1063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-12-11351
OR
Other
Enumeration date
10/06/2023
Last updated
06/25/2025
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