Individual
MRS. EMILEE PATREACE REFVEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2020 SW POWELL BLVD, PORTLAND, OR 97202
(503) 233-6121
(503) 233-6126
Mailing address
2020 SW POWELL BLVD, PORTLAND, OR 97202
(503) 233-6121
(503) 233-6126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2724
OR
Other
Enumeration date
02/22/2010
Last updated
10/04/2013
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