Individual
KATHERINE ALICIA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8372
Mailing address
8616 SW 35TH AVE, PORTLAND, OR 97219-3804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1778
OR
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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