Organization
EVOLVE AND ELEVATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORREY A THILLE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(971) 710-8287
Entity
Organization
Contact information
Practice address
2000 NE 42ND AVE # 1085, PORTLAND, OR 97213-1399
(971) 710-8287
(503) 821-7821
Mailing address
2093 NW YUCCA WAY, REDMOND, OR 97756-8549
(971) 710-8287
(503) 821-7821
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
07/11/2023
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