Provider Demographics
NPI:1952928293
Name:EMARD, KATHRYN (MS, NCC, QMHP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:EMARD
Suffix:
Gender:F
Credentials:MS, NCC, QMHP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 MEADOWS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-0086
Mailing Address - Country:US
Mailing Address - Phone:503-388-5026
Mailing Address - Fax:503-825-0225
Practice Address - Street 1:5200 MEADOWS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-0086
Practice Address - Country:US
Practice Address - Phone:503-927-3463
Practice Address - Fax:503-825-0225
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health