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Emma Lee Patton

Adult Companion in Portland, OR. Individual provider (NPI-1).

NPI number1629636014
StatusActive
Last updated in NPPESNov 5, 2019

Details

NPI
1629636014
Entity type
Individual (NPI-1)
Name
Emma Lee Patton
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2019
Last updated
Nov 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YA0400X Counselor, Addiction (Substance Use Disorder)372600000XOR

Practice location

847 Ne 19th Ave
Portland, OR 97232-2684

Phone 503-238-0769

Mailing address

Po Box 8459
Portland, OR 97207-8459

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