Individual
ELIZABETH ORTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
(971) 364-8010
Mailing address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T2582
OR
247200000X
Other Technician
—
—
Other
Enumeration date
11/01/2011
Last updated
12/03/2024
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