Individual
EMILY M PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
389 SW SCALEHOUSE CT STE 130, BEND, OR 97702-3241
(541) 777-7847
Mailing address
PO BOX MM, MADRAS, OR 97741-0136
(541) 777-7847
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-1506
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-CRM-1506
CRM
OR
Enumeration date
12/06/2022
Last updated
12/06/2022
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