Individual provider · Type 1 NPI

Emiko Dubose

Mental Health Counselor · Portland, OR

NPI number 1841697182 Active

Practice location

1245 SE 122nd Ave
Portland, OR 97233-1201

Call (503) 564-0164 Map

Fax (503) 564-0164

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1841697182

Emiko Dubose's National Provider Identifier is 1841697182, issued on Dec 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2014.