Provider Demographics
NPI:1922309020
Name:DONNER, ELIZABETH I (MS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:I
Last Name:DONNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:342 ANNETTE CT NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4801
Mailing Address - Country:US
Mailing Address - Phone:503-434-7462
Mailing Address - Fax:503-434-7335
Practice Address - Street 1:4422 NE DEVILS LAKE BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-5000
Practice Address - Country:US
Practice Address - Phone:541-265-4196
Practice Address - Fax:541-574-6252
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health