Individual
ELIZABETH ANN MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
486 12TH ST, ASTORIA, OR 97103-4122
(503) 325-5722
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A16578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165787
—
WA
Enumeration date
10/06/2020
Last updated
10/07/2025
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