Individual
ELIZABETH DRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 550-9365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/11/2018
Last updated
06/21/2019
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