Individual
MS. ELISE HELENE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2701 NW VAUGHN ST STE 140, PORTLAND, OR 97210-5344
(503) 499-5200
Mailing address
2701 NW VAUGHN ST STE 140, PORTLAND, OR 97210-5344
(503) 499-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CG60143404
WA
1041C0700X
Clinical Social Worker
Primary
L2012
OR
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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