Individual
JESSICA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
10690 NE CORNELL RD STE 215, HILLSBORO, OR 97124-9224
(503) 216-5240
Mailing address
3125 N WINCHELL ST UNIT B, PORTLAND, OR 97217-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A5702
OR
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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