ELLA ILIANA SMITH

PORTLAND, OR
NPI1114514742
Other NameELLA ILIANA GRANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
ELLA ILIANA SMITH QMHA, CADC I
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 866-262-0531
Mailing Address
ELLA ILIANA SMITH QMHA, CADC I
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 866-262-0531
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