Individual
EMILIE SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 NE BROADWAY STE 200, PORTLAND, OR 97213-1425
(503) 258-4555
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24-QMHP-R-3068
OR
101YM0800X
Mental Health Counselor
Primary
R10497
OR
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
20-QMHA-R-0658
OR
171M00000X
Case Manager/Care Coordinator
21-QMHA-I-003189
OR
Other
Enumeration date
10/09/2020
Last updated
05/19/2025
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