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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