Individual
ELIZABETH WAECHTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
2318 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
7041 N DENVER AVE, PORTLAND, OR 97217-5621
(989) 859-1514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/23/2014
Last updated
02/01/2015
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