Healthcare Provider Details

I. General information

NPI: 1831803337
Provider Name (Legal Business Name): EMILY ARNOLD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 SOUTHGATE STE 3
PENDLETON OR
97801-3971
US

IV. Provider business mailing address

314 NW 4TH ST
PENDLETON OR
97801-1619
US

V. Phone/Fax

Practice location:
  • Phone: 541-215-4440
  • Fax:
Mailing address:
  • Phone: 803-556-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY ARNOLD
Title or Position: LCSW
Credential: LCSW
Phone: 803-556-6842