Individual
ELISA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20413 SW ALMOND CT, BEAVERTON, OR 97003-2228
(971) 226-6364
Mailing address
20413 SW ALMOND CT, BEAVERTON, OR 97003-2228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R12579
OR
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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