Individual
MR. MITCHELL SCOTT ELOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
15100 BOONES FERRY RD, LAKE OSWEGO, OR 97035-3469
(503) 804-3063
Mailing address
15100 BOONES FERRY RD, LAKE OSWEGO, OR 97035-3469
(503) 804-3063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1693
OR
171M00000X
Case Manager/Care Coordinator
05-07-69U3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-07-69U3
ACCBO
OR
05
—
164936
—
OR
01
—
C 1693
OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS
OR
Enumeration date
02/20/2007
Last updated
03/17/2018
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