Most Relevant Information
Provider Data
| NPI Number: | 1003324146 |
| Provider Name: | EMILY STREETER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2018 |
| Last Updated: | 01/10/2018 |
Provider Practice Location
6200 SE KING RD
PORTLAND
OR
972222891
Practice Location Phone/Fax
| Phone: | 5035466377 |
| Fax: |
Provider Mailing Location
6200 SE KING RD
PORTLAND
OR
972222891
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |