ELISHA M WATERS

PORTLAND, OR
NPI1104042647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  060746)
Enumeration Date2007-04-17
Last Update Date2010-03-18
Business Address
-- ELISHA M WATERS BA, CADCI
9670 SW BEAVERTON HILLSDALE HWY
PORTLAND, OR 97282
Phone number: 503-626-9494
Mailing Address
-- ELISHA M WATERS BA, CADCI
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-626-9494
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