(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003294323
Provider Name: ELIZABETH GORDON MDIV, MSW
Entity Type: Individual
Taxonomy Code: 101YM0800X
Specialty: Counselor
License Number:
Most Important Dates
Enumeration Date: 05/07/2015
Last Updated: 05/07/2015
Provider Practice Location
10011 SE DIVISION ST
STE 305
PORTLAND
OR
972661351
Practice Location Phone/Fax
Phone: 5033355975
Fax:
Provider Mailing Location
10011 SE DIVISION ST
STE 305
PORTLAND
OR
972661351
Provider Mailing Phone/Fax
Phone: 5033355975
Fax: