Individual
CANDIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 266-4060
(503) 445-4913
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 200-3923
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-11-62
OR
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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