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: |