Basic Information
| Provider Information | |||||||||
| NPI: | 1336567619 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORWEKAR | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | LINKS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 NW NAITO PKWY STE 185 | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972092535 | ||||||||
| CountryCode: | US | ||||||||
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| FaxNumber: | 5035257652 | ||||||||
| Practice Location | |||||||||
| Address1: | 2801 N GANTENBEIN AVE | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972271623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034132042 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2014 | ||||||||
| LastUpdateDate: | 11/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A142355 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | MD188778 | OR | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.