Provider Demographics
NPI:1205019486
Name:UNRUH, EMILY KIRSTEN (MA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KIRSTEN
Last Name:UNRUH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 WILLAMETTE ST STE 101C
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3170
Mailing Address - Country:US
Mailing Address - Phone:541-357-7821
Mailing Address - Fax:541-484-7212
Practice Address - Street 1:2440 WILLAMETTE ST STE 101C
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3170
Practice Address - Country:US
Practice Address - Phone:541-357-7821
Practice Address - Fax:541-484-7212
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional