Healthcare Provider Details

I. General information

NPI: 1063320919
Provider Name (Legal Business Name): EMMA BELL HIGHLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 SW CEDAR HILLS BLVD STE 280B
BEAVERTON OR
97005-2039
US

IV. Provider business mailing address

3800 SW CEDAR HILLS BLVD STE 280B
BEAVERTON OR
97005-2039
US

V. Phone/Fax

Practice location:
  • Phone: 360-600-5877
  • Fax:
Mailing address:
  • Phone: 360-600-5877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR10146
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: