Individual provider · Type 1 NPI

Elisha M. Waters, BA, CADCI

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104042647 Active

Practice location

9670 SW Beaverton Hillsdale Hwy
Portland, OR 97282

Call (503) 626-9494 Map

Fax (503) 626-9494

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X060746 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104042647

Elisha M. Waters, BA, CADCI's National Provider Identifier is 1104042647, issued on Apr 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2010.