Individual
ELIZABETH ANNE WINTCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17630 SE MAIN ST, PORTLAND, OR 97233-5044
(503) 762-3202
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 234-7532
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
03/11/2008
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