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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