Individual
LAWRENCE DAVID ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 464-4456
(541) 440-3554
Mailing address
272 NW MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471-5597
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2831
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P020
—
OR
Enumeration date
02/20/2007
Last updated
01/08/2015
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