Most Relevant Information
Provider Data
| NPI Number: | 1003060088 |
| Provider Name: | ELIZABETH SUTHERLAND RACE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1981 |
Most Important Dates
| Enumeration Date: | 11/04/2008 |
| Last Updated: | 11/04/2008 |
Provider Practice Location
420 S STATE ST
LAKE OSWEGO
OR
970343938
Practice Location Phone/Fax
| Phone: | 5036245705 |
| Fax: | 5036971860 |
Provider Mailing Location
420 S STATE ST
LAKE OSWEGO
OR
970343938
Provider Mailing Phone/Fax
| Phone: | 5036245705 |
| Fax: | 5036971860 |