Provider Demographics
NPI:1447946371
Name:LAMARCA, EMILY ANNE (MA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:LAMARCA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:TRACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1505 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-5362
Mailing Address - Country:US
Mailing Address - Phone:971-275-0234
Mailing Address - Fax:
Practice Address - Street 1:1584 NE 8TH ST STE 200
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5746
Practice Address - Country:US
Practice Address - Phone:971-220-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health