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Individual

EMILY DERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(714) 848-8319
Mailing address
8338 SE BUFORD LN, PORTLAND, OR 97236-7221
(503) 489-9913

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/13/2015
Last updated
01/13/2015
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