Individual
PAUL MICHAEL EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
39 SE COURT AVE STE 202, PENDLETON, OR 97801-2228
(541) 862-4357
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396592663
—
OR
Enumeration date
07/28/2023
Last updated
05/07/2024
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