Individual
EMILY METRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11220 SE STARK ST, PORTLAND, OR 97216-3379
(971) 361-8303
Mailing address
6723 SE CARLTON ST, PORTLAND, OR 97206-6512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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