Individual provider · Type 1 NPI

Elijah Andersen, CRM

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1649063116 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Call (503) 740-1971 Map

Fax (503) 771-2436

Mailing address

10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-CRM3164 (OR)

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

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About NPI 1649063116

Elijah Andersen, CRM's National Provider Identifier is 1649063116, issued on May 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Jun 13, 2025.