Individual
MS. EMILY MARIE WALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1952 SE 122ND AVE, PORTLAND, OR 97233-1304
(503) 726-3690
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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