MEDICARE: ELZBIETA HOWARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578619821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELZBIETA HOWARD

Provider Business Mailing Address
First Line	:	14215 SE REDWOOD AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97267-1439
Country	:	US
Telephone Number	:	503-653-5311
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 SW 11TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-2634
Country	:	US
Telephone Number	:	503-944-1219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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Directions to “ ELZBIETA HOWARD ” Practice Location

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