Healthcare Provider Details

I. General information

NPI: 1063756898
Provider Name (Legal Business Name): ELIZABETH LOVING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH TURNER

II. Dates (important events)

Enumeration Date: 11/16/2012
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 SW OAK ST STE 520
PORTLAND OR
97204-1810
US

IV. Provider business mailing address

421 SW OAK ST STE 520
PORTLAND OR
97204-1810
US

V. Phone/Fax

Practice location:
  • Phone: 503-988-3999
  • Fax:
Mailing address:
  • Phone: 503-988-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberL17456
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: