Fidelis T Emmanuel
Fidelis T Emmanuel is an Adult Companion in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
847 NE 19th Ave Ste 100Portland, OR 97232-2684
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8915 Sw Center St, Tigard, OR 97223-6307 — (503) 726-3690
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1720561970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 13, 2018 |
| Last updated in NPPES | January 24, 2020 |
| Certification date | January 24, 2020 |
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