Individual
ELICE AUGUST PRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3511
(971) 292-1960
Mailing address
6841 49TH AVE NE, SEATTLE, WA 98115-7734
(206) 595-6486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
25-QMHA-R-7735
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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