Individual
MS. ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST STE 440, PORTLAND, OR 97232-4208
(541) 517-9733
Mailing address
6018 SE STARK ST, PORTLAND, OR 97215-1990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
09/19/2025
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