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Individual

ELLIOT TOWNLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2512 SE 25TH AVE STE 206, PORTLAND, OR 97202-2075
(503) 862-9565
(503) 308-1825
Mailing address
2512 SE 25TH AVE STE 206, PORTLAND, OR 97202-2075
(503) 862-9565
(503) 308-1825

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
R6409
OR
101YM0800X
Mental Health Counselor
Primary
C7400
OR

Other

Enumeration date
08/11/2020
Last updated
02/26/2025
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