SAMUEL CHARLES ELLIOTT

BEAVERTON, OR
NPI1598981771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-17
Last Update Date2016-02-24
Business Address
-- SAMUEL CHARLES ELLIOTT CADC-I
4650 SW GRIFFITH DR
BEAVERTON, OR 97005-8719
Phone number: 503-684-8159
Mailing Address
-- SAMUEL CHARLES ELLIOTT CADC-I
10110 NE 108TH AVE
VANCOUVER, WA 98662-1571
Phone number: 360-450-1168
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