Organization
PORTLAND INTEGRATIVE COUNSELING CENTER
Active
Organization
PORTLAND INTEGRATIVE COUNSELING CENTER
Active
Other names
Integrative Counseling in Portland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALT EMERY LPC (OWNER)
(971) 255-1565
Entity
Organization
Contact information
Practice address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(971) 255-1565
Mailing address
PO BOX 82435, PORTLAND, OR 97282-0435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C2637
OR
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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