Individual
MRS. EMILY ELIZABETH LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 226-2203
Mailing address
35630 ELK MEADOWS DR, SAINT HELENS, OR 97051-3753
(503) 919-5821
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
201504087LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028382
—
OR
Enumeration date
03/31/2016
Last updated
05/10/2023
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