Individual
SAMUEL CHARLES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
4650 SW GRIFFITH DR, BEAVERTON, OR 97005-8719
(503) 684-8159
(503) 598-0934
Mailing address
10110 NE 108TH AVE, VANCOUVER, WA 98662-1571
(360) 450-1168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
02/24/2016
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