Elizabeth Wadnizak, LMT

NPI #1194180604 in Portland, Oregon

Provider Information

NPI Number: 1194180604
Entity Type: Individual
Name: Elizabeth Wadnizak, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Dec 28, 2015
Last Updated: Dec 28, 2015

Practice Location

Address: 511 SW 10TH AVE STE 1108
City: Portland
State: Oregon
ZIP Code: 97205-2713
Phone: (503) 224-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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