Individual
ELENA WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 SE DIVISION ST STE 215, PORTLAND, OR 97202-1997
(503) 622-8964
Mailing address
1825 SE 55TH AVE, PORTLAND, OR 97215-3345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11907
OR
Other
Enumeration date
05/27/2022
Last updated
11/11/2024
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