Individual
EMMA JANE FOULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030-5770
(503) 740-1971
Mailing address
6334 SE ALDER PL, PORTLAND, OR 97222-2578
(971) 413-9063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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