Provider Demographics
NPI:1922814466
Name:RESK, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:RESK
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:EMRYS
Other - Middle Name:
Other - Last Name:RESK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7676 N LOMBARD ST APT 205
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-3243
Mailing Address - Country:US
Mailing Address - Phone:503-806-4262
Mailing Address - Fax:
Practice Address - Street 1:13500 SE 7TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-6909
Practice Address - Country:US
Practice Address - Phone:360-699-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor