Provider Demographics
NPI:1497803498
Name:SINCLAIRE, ELIZABETH C (LPC, CADC 1)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:C
Last Name:SINCLAIRE
Suffix:
Gender:F
Credentials:LPC, CADC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 SW TAYLOR ST STE 730
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2558
Mailing Address - Country:US
Mailing Address - Phone:503-998-4569
Mailing Address - Fax:503-384-0683
Practice Address - Street 1:1020 SW TAYLOR ST STE 730
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2558
Practice Address - Country:US
Practice Address - Phone:503-998-4569
Practice Address - Fax:503-384-0683
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR991141101YA0400X
ORC1609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health