Individual
MRS. ELIZABETH MARIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5319 SW WESTGATE DR, PORTLAND, OR 97221-2411
(503) 330-8677
Mailing address
4625 SW 45TH AVE, PORTLAND, OR 97221-3618
(503) 200-4746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2804
OR
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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