Individual
EMILY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NE 20TH AVE STE 10, PORTLAND, OR 97232-3094
(503) 849-2127
Mailing address
4265 NE HALSEY ST APT 703, PORTLAND, OR 97213-1562
(503) 462-8197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E-10250173
OR
246Z00000X
Other Specialist/Technologist
Primary
E-10250173
OR
Other
Enumeration date
04/17/2025
Last updated
06/01/2026
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