ELIZABETH VAN WORMER

PORTLAND, OR
NPI1144522350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  000814)
Enumeration Date2010-11-19
Last Update Date2010-11-19
Business Address
-- ELIZABETH VAN WORMER LCSW
10490 SW EASTRIDGE ST SUITE 120
PORTLAND, OR 97225-5030
Phone number: 503-297-3803
Mailing Address
-- ELIZABETH VAN WORMER LCSW
10490 S W EASTRIDGE SUITE 120
PORTLAND, OR 97225
Phone number: 503-297-3803
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