Individual
EMILY SMALL MICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 465-2749
(503) 208-2576
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
(503) 465-2749
(503) 208-2576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3622
OR
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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