Individual
ELISA ANANDA URIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10180 SE SUNNYSIDE RD # WINGA, CLACKAMAS, OR 97015-8970
(503) 571-0881
Mailing address
2026 SE 32ND PL, PORTLAND, OR 97214-5704
(503) 233-0676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3849
OR
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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