Individual
MRS. EMMA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5441 S MACADAM AVE STE 8054, PORTLAND, OR 97239-6106
(503) 383-9225
(458) 234-4341
Mailing address
5441 S MACADAM AVE STE 8054, PORTLAND, OR 97239-6106
(503) 383-9225
(458) 234-4341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8189
OR
Other
Enumeration date
09/29/2011
Last updated
04/08/2026
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