EMILY SMALL MICHON

PORTLAND, OR
NPI1790544997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3622)
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
EMILY SMALL MICHON CADC-R
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-465-2749
Mailing Address
EMILY SMALL MICHON CADC-R
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number: 503-465-2749