Individual
MARA ELIZABETH BEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 234-7532
Mailing address
17020 SW PLEASANTON LN, BEAVERTON, OR 97006-4238
(503) 268-3039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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