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Emma Rose Mark, QMHA-I
Mental Health Counselor in Portland, Oregon
NPI 1053992990

Emma Rose Mark is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Emma Rose Mark practices in Portland, OR and has the professional credentials of QMHA-I. The NPI Number for Emma Rose Mark is 1053992990 and holds a License No. 24-QMHA-I-004246 (Oregon).

The current practice location address for Emma Rose Mark is 12360 E Burnside St, Portland, OR and can be reached out via phone at 971-279-4800 and via fax at 971-279-2051.

Location: 12360 E Burnside St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1053992990
Provider Name
Emma Rose Mark
Credential
QMHA-I
Provider Entity Type
Individual
Gender
Female
Address
12360 E Burnside St, Portland, OR, 97205-1715
Phone Number
971-279-4800
Fax Number
971-279-2051
Provider Enumeration Date
04/20/2021
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500791871 05 OR
institution
Provider Business Practice Location Address Details
Address
12360 E Burnside St
City
State
Zip
97233-1042
Phone Number
971-279-4800
Fax Number
971-279-2051
person
Provider Business Mailing Address Details
Address
12360 E Burnside St
City
State
Zip
97233-1042
Phone Number
971-279-4800
Fax Number
971-279-2051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
24-QMHA-I-004246 (Oregon)
Definition
Definition to come...
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