Reynolds, Emily Dawn

Reynolds, Emily Dawn is an individual health care provider with primary practice located at 104 Sw Kinkade Road , Boardman OR 97818. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Reynolds, Emily Dawn can be contacted via phone (541) 481-2911.

Contact Information

Primary practice address
104 Sw Kinkade Road Boardman OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437359387
LBN Legal business name Reynolds, Emily Dawn
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Jul 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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