Provider Demographics
NPI:1023389970
Name:DELGROS-RYAN, ELIZABETH (MSW,MPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DELGROS-RYAN
Suffix:
Gender:F
Credentials:MSW,MPH
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:DELGROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:528 COTTAGE ST NE STE 401
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3811
Mailing Address - Country:US
Mailing Address - Phone:503-583-4319
Mailing Address - Fax:503-343-3331
Practice Address - Street 1:528 COTTAGE ST NE STE 401
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3811
Practice Address - Country:US
Practice Address - Phone:503-583-8537
Practice Address - Fax:503-343-3331
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL107461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical