Provider Demographics
NPI:1932570645
Name:KATZ, ELIZABETH ANANIJ (ND)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANANIJ
Last Name:KATZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANANIJ
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:12096 NW HALLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-8428
Mailing Address - Country:US
Mailing Address - Phone:503-804-2200
Mailing Address - Fax:
Practice Address - Street 1:12096 NW HALLBROOK LN
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-8428
Practice Address - Country:US
Practice Address - Phone:503-804-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2065175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath