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ELIJAH ANDERSEN CRM

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1649063116
Provider Type
Individual Provider (NPI-1)
Credentials
CRM
Status
Active

Contact & Location

Address
1217 NE BURNSIDE RD STE 701, GRESHAM, OR, 970305770
Phone
(503) 740-1971
Fax
(503) 771-2436

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: OR #24-CRM3164

All Addresses

MAILING

10117 SE SUNNYSIDE RD # F1217

CLACKAMAS, OR, 970157708

(503) 740-1971

LOCATION

1217 NE BURNSIDE RD STE 701

GRESHAM, OR, 970305770

(503) 740-1971