Individual
EMILY LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 NW COUNCIL DR STE 300, GRESHAM, OR 97030-3725
(503) 258-4489
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3703
OR
Other
Enumeration date
05/07/2018
Last updated
10/23/2023
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