Individual
ELIZABETH MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2205 NE COLUMBIA BLVD, PORTLAND, OR 97211-1930
(503) 988-3393
Mailing address
2205 NE COLUMBIA BLVD, PORTLAND, OR 97211-1930
(503) 988-3393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L4080
OR
Other
Enumeration date
07/02/2007
Last updated
07/23/2013
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