Most Relevant Information
Provider Data
| NPI Number: | 1003380478 |
| Provider Name: | EMILY R HINMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | C4767 |
Most Important Dates
| Enumeration Date: | 01/17/2019 |
| Last Updated: | 01/17/2019 |
Provider Practice Location
3939 NE HANCOCK ST STE 209
PORTLAND
OR
972125321
Practice Location Phone/Fax
| Phone: | 5038932463 |
| Fax: |
Provider Mailing Location
1340 NE KILLINGSWORTH ST APT C2
PORTLAND
OR
972114387
Provider Mailing Phone/Fax
| Phone: | 2195889789 |
| Fax: |