Individual
MRS. ELIZABETH BREEN GREGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5228 NE HOYT ST BLDG B, PORTLAND, OR 97213-3055
(503) 215-3782
(503) 215-6477
Mailing address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 972-9542
(503) 239-7391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5220
OR
1041C0700X
Clinical Social Worker
Primary
5220
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376611418
—
OR
Enumeration date
11/01/2013
Last updated
03/20/2018
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