Individual
ELIZABETH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
(503) 335-5974
Mailing address
11010 SE DIVISION ST STE 202, PORTLAND, OR 97266-6400
(503) 335-5975
(503) 335-5974
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
93-6002307
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
10/16/2020
Last updated
07/21/2021
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