Individual
ELYSIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
14376 SW FARMINGTON RD, BEAVERTON, OR 97005-2524
(503) 567-7604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
01/08/2024
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