Most Relevant Information
Provider Data
| NPI Number: | 1003436668 |
| Provider Name: | ELIZABETH MAE KNUTSEN CSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6021 |
Most Important Dates
| Enumeration Date: | 04/23/2020 |
| Last Updated: | 04/23/2020 |
Provider Practice Location
5510 N COMMERCIAL AVE
PORTLAND
OR
972172340
Practice Location Phone/Fax
| Phone: | 9173618303 |
| Fax: |
Provider Mailing Location
5510 N COMMERCIAL AVE
PORTLAND
OR
972172340
Provider Mailing Phone/Fax
| Phone: | 9173618303 |
| Fax: |