Individual
ELANA STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA PSY
Contact information
Practice address
15602 SE DIVISION ST, PORTLAND, OR 97236
(541) 961-4762
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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