Elisha M Waters in Portland - Addiction (substance Use Disorder)
Elisha M Waters - NPI 1104042647
Elisha M Waters is a Addiction (substance Use Disorder) in Portland, Oregon. Elisha M Waters practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Elisha M Waters is 1104042647. The last update date is 2010-03-18.
Elisha M Waters's current location address is Po Box 82819, Portland, Oregon. You can contact this provider via phone number 5036269494 and fax number 5036468401. The mailing address for Elisha M Waters is Po Box 82819, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisha M Waters |
|---|---|
| Address | Po Box 82819, Portland, Oregon |
| Phone Number | 5036269494 |
| Fax Number | 5036468401 |
| Sole Proprietor | N |
| Credentials | BA, CADCI |
NPI Number Detail
| NPI Number | 1104042647 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2010-03-18 |
Provider Mailing Address Detail
| Address | Po Box 82819 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972820819 |
| Phone Number | 5036269494 |
| Fax Number | 5036468401 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 60746 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Elisha M Waters by the Centers for Medicare & Medicaid Services?
The Elisha M Waters has been issued the NPI (National Provider Identifier) 1104042647. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Elisha M Waters is geographically located?
The Elisha M Waters is physically situated at the following location: Po Box 82819, Portland, OR, 972820819.
What is the Elisha M Waters's specialty and taxonomy code?
The Elisha M Waters's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104042647 to Elisha M Waters?
The Centers for Medicare & Medicaid Services assigned the 1104042647 to Elisha M Waters on 2007-04-17.
When was the information related to Elisha M Waters most recently updated or refreshed?
The details pertaining to the Elisha M Waters, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-18.
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