Individual provider · Type 1 NPI

Elizabeth Thom

Mental Health Counselor · Portland, OR

NPI number 1104441955 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Call (503) 352-2419 Map

Mailing address

17500 NW Cornell Rd Apt 10
Beaverton, OR 97006-3201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104441955

Elizabeth Thom's National Provider Identifier is 1104441955, issued on Jun 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 8, 2020.