Individual
ELISHA CODDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCI
Contact information
Practice address
10373 NE HANCOCK ST STE 125, PORTLAND, OR 97220-3873
(503) 253-6754
Mailing address
10373 NE HANCOCK ST STE 125, PORTLAND, OR 97220-3873
(503) 253-6754
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
11/15/2023
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