Individual
ELEASHA GRACE BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(971) 369-5642
(503) 206-7164
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
OR
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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