Provider Demographics
NPI:1821611328
Name:SEYNAEVE, EMMA MICHELLE (MSW)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:MICHELLE
Last Name:SEYNAEVE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12986 SW CREEKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5725
Mailing Address - Country:US
Mailing Address - Phone:503-686-9374
Mailing Address - Fax:
Practice Address - Street 1:8285 SW NIMBUS AVE STE 148
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-6465
Practice Address - Country:US
Practice Address - Phone:503-352-3260
Practice Address - Fax:503-352-3262
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical