Provider Demographics
NPI:1184006546
Name:DECKER, EMILY (MS, CRC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:DECKER
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:KOLIBABA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2645 PORTLAND RD NE STE 120
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-0200
Mailing Address - Country:US
Mailing Address - Phone:503-390-5637
Mailing Address - Fax:
Practice Address - Street 1:1025 CONNECTICUT AVE NW STE 1000
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5417
Practice Address - Country:US
Practice Address - Phone:202-309-2048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor