Individual
ELISE MADLINE HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 NE FLANDERS ST STE 3C, PORTLAND, OR 97232-3259
(971) 270-0167
Mailing address
160 SE EDGEWAY DR # C134, BEAVERTON, OR 97006-3793
(503) 473-3909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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