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Individual

ELISHA CODDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADCI

Contact information

Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(971) 236-1255
Mailing address
1110 SE ALDER ST, SUITE 301, PMB # 71, PORTLAND, OR 97214
(971) 236-1255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-10-02
OR
1041C0700X
Clinical Social Worker
Primary
L7762
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03500780466
OR
05
33500701842
OR
Enumeration date
07/22/2015
Last updated
05/28/2026
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