Individual
ELINOR BIRCH FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(866) 523-4268
Mailing address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-4321
OR
101YM0800X
Mental Health Counselor
Primary
25-QMHA-I-004944
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/01/2022
Last updated
10/15/2025
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