Individual
MS. ELKA JANIS GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1815 SW MARLOW AVE, SUITE 208, PORTLAND, OR 97225-5185
(503) 297-7979
Mailing address
1815 SW MARLOW AVE, SUITE 208, PORTLAND, OR 97225-5185
(503) 297-7979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L4377
OR
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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