BEGIN:VCARD VERSION:3.0 FN:Elzbieta Howard N:Howard;Elzbieta;;; TITLE:Mental Health Counselor TEL;TYPE=WORK,VOICE:+15039441219 URL:https://www.gale.care/providers/or/portland/elzbieta-howard-1578619821 NOTE:NPI 1578619821. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1578619821 END:VCARD