Whalio Doctors

NPI 1053456103

Lawrence David Elkins, MSWLCSW

Practitioner Clinical Social Worker Roseburg, OR

Practice location

Address
2700 NW Stewart Pkwy, Roseburg, OR 97471-1281
Phone
(541) 464-4456
Fax
(541) 440-3554
Mailing address
272 NW Medical Loop Suite E, Roseburg, OR 97471-5597

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence L2831 (OR)

Registry record

NPI
1053456103
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Feb 2007
Record last updated
8 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.