Provider Demographics
NPI:1831270040
Name:ZUERCHER-WHITE, ELKE (PHD, ABPP)
Entity type:Individual
Prefix:DR
First Name:ELKE
Middle Name:
Last Name:ZUERCHER-WHITE
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 SW WESTGATE DR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2420
Mailing Address - Country:US
Mailing Address - Phone:503-875-9263
Mailing Address - Fax:503-297-5744
Practice Address - Street 1:5440 SW WESTGATE DR
Practice Address - Street 2:SUITE 175
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-2420
Practice Address - Country:US
Practice Address - Phone:503-875-9263
Practice Address - Fax:503-297-5744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1322103T00000X
WAPY.60069310103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist