Emily Marie Ketola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5681 Issued in OR

Practice address

9775 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5721

Phone

(503) 794-3830

Fax

(503) 794-3850

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1003141672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD",
            "address_2": "SUITE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 SE SUNNYSIDE RD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155721",
            "telephone_number": "503-794-3830",
            "fax_number": "503-794-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETOLA",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Keresztes
• Freda Kerman, M.D.
• Katelynn Kern
• Michelle Lynn Kerron
• Adelia Ketchum, DPT
• Muhammad Farhan Khaliq, M.D.
• Yiichiang XXX Khan, M.D.
• Stephanie Khouw, NP
• Christian A Killer, MD
• Charles Youngjoong Kim, M.D.

• Clinical Social Worker in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.