Individual
EMILY FISKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
927 COUNTRY CLUB RD STE 200, EUGENE, OR 97401-2272
(541) 972-3182
Mailing address
927 COUNTRY CLUB RD STE 200, EUGENE, OR 97401-2272
(541) 972-3182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R5924
OR
Other
Enumeration date
11/19/2019
Last updated
12/19/2019
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