Provider Demographics
NPI:1649881475
Name:ARNOLD, EMILY KATHERINE (MSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERINE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATHERINE
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 SOUTHGATE STE 3
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3971
Mailing Address - Country:US
Mailing Address - Phone:541-215-4440
Mailing Address - Fax:541-429-4118
Practice Address - Street 1:230 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2244
Practice Address - Country:US
Practice Address - Phone:541-304-5329
Practice Address - Fax:541-429-4118
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL85161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500782936Medicaid