Individual
EMMA PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-4533
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23-QMHA-R-4679
OR
Other
Enumeration date
12/04/2023
Last updated
12/08/2023
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