Individual
REBECCA EMILY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1326
(503) 386-1515
Mailing address
520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
101848-1
NY
1041C0700X
Clinical Social Worker
090800
NY
1041C0700X
Clinical Social Worker
Primary
L12507
OR
Other
Enumeration date
11/30/2016
Last updated
09/03/2021
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