Provider Demographics
NPI:1497933923
Name:O'ROURKE, ELIZABETH NIEMITZ (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NIEMITZ
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ERIN
Other - Last Name:NIEMITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:4900 NE GLISAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2936
Mailing Address - Country:US
Mailing Address - Phone:503-215-3561
Mailing Address - Fax:503-215-4574
Practice Address - Street 1:4900 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2936
Practice Address - Country:US
Practice Address - Phone:503-215-3561
Practice Address - Fax:503-215-4574
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health