Organization
EMILY SIMPSON, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SIMPSON (OWNER, EMILY SIMPSON. LMT)
(512) 573-3960
Entity
Organization
Contact information
Practice address
505 NW 9TH AVE, PORTLAND, OR 97209-3578
(505) 893-2941
Mailing address
69 N HAYDEN BAY DR, PORTLAND, OR 97217-7978
(512) 573-3960
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
18634
OR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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