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1093018459
CANDIA ELLIOTT
PORTLAND, OR
NPI
1093018459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 99-11-62)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
-- CANDIA ELLIOTT CADC II
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-266-4060
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Mailing Address
-- CANDIA ELLIOTT CADC II
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-200-3923
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