Individual
ELAINA K GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, CADC I, QMHP-R
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 802-9101
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 802-9101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1733551
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/18/2019
Last updated
01/02/2025
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