Individual
ANNA ELIZABETH STATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1904 NE 17TH AVE, PORTLAND, OR 97212-4514
(360) 239-3760
Mailing address
1904 NE 17TH AVE, PORTLAND, OR 97212-4514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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