Individual
LISA ELLEN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10706 SW CAPITOL HWY APT 18, PORTLAND, OR 97219-6873
(503) 616-2220
Mailing address
10706 SW CAPITOL HWY APT 18, PORTLAND, OR 97219-6873
(503) 616-2220
(866) 792-0209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L6312
OR
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/03/2008
Last updated
06/20/2025
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