Individual
MAYA ELASADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8150 SE 23RD AVE, PORTLAND, OR 97202-6850
(971) 470-0155
Mailing address
8150 SE 23RD AVE, PORTLAND, OR 97202-6850
(971) 470-0155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16877
OR
Other
Enumeration date
09/13/2018
Last updated
09/25/2025
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