Healthcare Provider Details

I. General information

NPI: 1023398260
Provider Name (Legal Business Name): EMILY D MURER MS, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 SW BARBUR BLVD STE. 119-234
PORTLAND OR
97219-5428
US

IV. Provider business mailing address

9220 SW BARBUR BLVD STE. 119-234
PORTLAND OR
97219-5428
US

V. Phone/Fax

Practice location:
  • Phone: 503-706-0129
  • Fax:
Mailing address:
  • Phone: 503-706-0129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08890
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: