Individual
DR. ELIZABETH RAE KAUFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10001 SE SUNNYSIDE RD STE 140, CLACKAMAS, OR 97015-5746
(503) 887-1765
(503) 653-5219
Mailing address
635 SE 69TH AVE, PORTLAND, OR 97215-2113
(503) 887-1765
(503) 653-5219
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1659
OR
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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