Organization
SPECTRUMS FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACI N ELKINS LCSW (DIRECTOR/THERAPIST)
(503) 567-1820
Entity
Organization
Contact information
Practice address
8196 SW HALL BLVD, SUITE 202, BEAVERTON, OR 97008-6409
(503) 567-1820
(971) 228-2405
Mailing address
8196 SW HALL BLVD, SUITE 202, BEAVERTON, OR 97008-6409
(503) 567-1820
(971) 228-2405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
5764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500652588
—
OR
Enumeration date
11/25/2015
Last updated
11/25/2015
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