ALEX LOGAN ELWELL

PORTLAND, OR
NPI1922778349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
ALEX LOGAN ELWELL QMHA-R
4941 NE 17TH AVE
PORTLAND, OR 97211-5709
Phone number: 503-282-3296
Mailing Address
ALEX LOGAN ELWELL QMHA-R
14912 SW TICKLE CREEK RD
BORING, OR 97009
Phone number: 856-535-7583