Individual
ELIZABETH MAE KNUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
5510 N COMMERCIAL AVE, PORTLAND, OR 97217-2340
(917) 361-8303
Mailing address
5510 N COMMERCIAL AVE, PORTLAND, OR 97217-2340
(917) 361-8303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6021
OR
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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