Individual
ELEXIS ELAINE ASUNCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18088 SE MARKET ST, PORTLAND, OR 97233-5055
(503) 761-6006
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/14/2018
Last updated
11/25/2019
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