Individual
EMMA PETROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 SE 122ND AVE, PORTLAND, OR 97233-1304
(503) 726-3764
Mailing address
1952 SE 122ND AVE, PORTLAND, OR 97233-1304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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