Individual
EMMA DIANE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
3655 NE GARFIELD AVE, PORTLAND, OR 97212-2094
(503) 528-2140
(503) 335-8125
Mailing address
3655 NE GARFIELD AVE, PORTLAND, OR 97212-2094
(503) 528-2140
(503) 335-8125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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