Andulia White Elk CADCI

NPI 1053302554 - Counselor - 101YA0400X

NPI Details
NPI 1053302554
Gender Female
Enumeration Date 11/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1631 SW COLUMBIA ST
PORTLAND OR, 97201-6025, US
Phone (503) 231-2641
Fax (503) 231-1654
Business Location
1776 SW MADISON ST
PORTLAND OR, 97205-1715, US
Phone (503) 231-2641
Fax (503) 231-1654
Toxanomy
Taxonomy Code 101YA0400X
License State Oregon
License Number 050757
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According to our database, Andulia White Elk CADCI NPI is 1053302554, taxonomy code is 101YA0400X and license number is 050757, license state is located at Oregon. Andulia White Elk CADCI physically located at 1631 Sw Columbia St, Portland OR, 97201-6025. NPI Number Andulia White Elk CADCI has the Individual type.

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1053302554 NPI number is provided on an as is basis without warranty of any kind. 1053302554 is maintained by the National Plan & Provider Enumeration System. The contents of Andulia White Elk CADCI are for informational purposes only.