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Evelyn G Embry

Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).

NPI number1699358168
StatusActive
Last updated in NPPESMay 3, 2021

Details

NPI
1699358168
Entity type
Individual (NPI-1)
Name
Evelyn G Embry
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2021
Certification date
Apr 17, 2021
Last updated
May 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1411 Sw Morrison St Ste 212
Portland, OR 97205-1945

Phone 503-352-2400

Mailing address

14800 Nw Cornell Rd Apt 19a
Portland, OR 97229-5479

Phone 479-325-0300

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