Individual
MS. EMILY CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 751-3919
(503) 386-3378
Mailing address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 751-3919
(503) 386-3378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6467
OR
Other
Enumeration date
04/18/2016
Last updated
05/28/2022
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