Individual
EMILY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
(971) 401-0034
Mailing address
4740 SW NATCHEZ ST, TUALATIN, OR 97062-8766
(971) 401-0034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9901
OR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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