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1922778349
ALEX LOGAN ELWELL
PORTLAND, OR
NPI
1922778349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
ALEX LOGAN ELWELL QMHA-R
4941 NE 17TH AVE
PORTLAND, OR 97211-5709
Phone number: 503-282-3296
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Mailing Address
ALEX LOGAN ELWELL QMHA-R
14912 SW TICKLE CREEK RD
BORING, OR 97009
Phone number: 856-535-7583
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