| NPI Details | |
|---|---|
| NPI | 1093739773 |
| Gender | Female |
| Enumeration Date | 07/27/2006 |
| Last Updated | 07/17/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 847 NE 19TH AVE SUITE 100 PORTLAND OR, 97232-2684, US |
|
| Phone | (503) 963-7765 |
| Fax | (503) 963-7711 |
| Business Location | |
|---|---|
| 5914 NE CLEVELAND AVE PORTLAND OR, 97211-2510, US |
|
| Phone | (503) 490-9894 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1093739773 NPI Number | |
According to our database, Elizabeth Ann Lear LPC, CADC III NPI is 1093739773, taxonomy code is 101YM0800X Elizabeth Ann Lear LPC, CADC III physically located at 847 Ne 19th Ave, Portland OR, 97232-2684. NPI Number Elizabeth Ann Lear LPC, CADC III has the Individual type.
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1093739773 NPI number is provided on an as is basis without warranty of any kind. 1093739773 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Ann Lear LPC, CADC III are for informational purposes only.
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