Individual
BRIAN ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 320-1916
Mailing address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1264
OR
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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