Individual
MRS. EMILY R HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADCIII
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
(503) 646-5671
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
C2199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/20/2006
Last updated
11/04/2009
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