Individual
ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, MSW
Contact information
Practice address
10011 SE DIVISION ST, STE 305, PORTLAND, OR 97266-1351
(503) 335-5975
Mailing address
10011 SE DIVISION ST, STE 305, PORTLAND, OR 97266-1351
(503) 335-5975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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