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Individual

ELIZABETH MORGAN BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 278-9480
(971) 279-2051
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16682
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500718609
OR
Enumeration date
12/01/2016
Last updated
11/20/2025
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