Emily Marie Ketola
Clinical Social Worker
9775 Se Sunnyside Rd Ste 200
Clackamas
, Oregon 97015-5721
Emily Marie Ketola
Clinical Social Worker
9775 Se Sunnyside Rd Ste 200
Clackamas
, Oregon 97015-5721
(503) 742-5300
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Emily Marie Ketola
- 2051 Kaen Rd Suite 367
- Oregon City, OR
- Zip : 97045-4035
- Phone : (503) 742-5300
Second Address
- Emily Marie Ketola
- 9775 Se Sunnyside Rd Ste 200
- Clackamas, OR
- Zip : 97015-5721
- Fax : (503) 794-3850
- Phone : (503) 794-3830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | L5681 | OR |
National Provider Identifier
| NPI | 1003141672 |
|---|---|
| Provider Name | Emily Marie Ketola |
| First Address | Oregon City, OR 97045-4035 |
| Second Address | Clackamas, OR 97015-5721 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2009 |
| Last Update Date | 25/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.