Individual
MS. ELIZABETH ALICE BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4004 SE WOODSTOCK BLVD, SUITE 3, PORTLAND, OR 97202-7662
(503) 777-0444
(503) 777-0445
Mailing address
4004 SE WOODSTOCK BLVD, SUITE 3, PORTLAND, OR 97202-7662
(503) 777-0444
(503) 777-0445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2527
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2527
LICENSE NUMBER
OR
Enumeration date
07/22/2009
Last updated
02/24/2014
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