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Organization

STONEWALL BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL M EMMONS (DEPUTY DIRECTOR)
(541) 694-8189
Entity
Organization

Contact information

Practice address
826 SE 10TH ST, PENDLETON, OR 97801-3246
(503) 503-9003
Mailing address
826 SE 10TH ST, PENDLETON, OR 97801-3246
(541) 694-8189

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500820179
OR
Enumeration date
10/27/2025
Last updated
03/10/2026
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