Individual
ELIZABETH RETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
681 COTTAGE ST NE, SALEM, OR 97301-2419
(602) 607-0048
Mailing address
7135 SW CLINTON ST, TIGARD, OR 97223-8553
(602) 478-8026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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