Provider Demographics
NPI:1124691142
Name:GUILBERT, EMILY MARIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:GUILBERT
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 NE 14TH AVE APT 501
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-3570
Mailing Address - Country:US
Mailing Address - Phone:937-499-0090
Mailing Address - Fax:
Practice Address - Street 1:300 N GRAHAM ST STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1667
Practice Address - Country:US
Practice Address - Phone:503-413-4186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS