Individual
DR. ELIZABETH QUACKENBUSH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2493 STATE ST, SALEM, OR 97301-4543
(503) 588-1010
(503) 588-9424
Mailing address
2493 STATE ST, SALEM, OR 97301-4543
(503) 588-1010
(503) 588-9424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1096
OR
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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