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Andulia White Elk, CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1053302554

Andulia White Elk is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Andulia White Elk practices in Portland, OR and has the professional credentials of CADCI. The NPI Number for Andulia White Elk is 1053302554 and holds a License No. 050757 (Oregon).

The current practice location address for Andulia White Elk is 1631 Sw Columbia St, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-231-1654.

Location: 1631 Sw Columbia St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1053302554
Provider Name
Andulia White Elk
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
1631 Sw Columbia St, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-231-1654
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126370 05 OR
institution
Provider Business Practice Location Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider Business Mailing Address Details
Address
1631 Sw Columbia St
City
State
Zip
97201-6025
Phone Number
503-231-2641
Fax Number
503-231-1654
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
050757 (Oregon)
Definition
Definition to come...
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