Individual
ELIZABETH JEAN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
7621 N PORTSMOUTH AVE, PORTLAND, OR 97203-5953
(503) 285-2530
(503) 240-8066
Mailing address
2025 NE DEKUM ST, PORTLAND, OR 97211-5314
(503) 285-2530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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