Addison, Elijawan

Addison, Elijawan is an individual health care provider with primary practice located at 58147 Columbia River Hwy Suite C, Saint Helens OR 97051-6226. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Addison, Elijawan can be contacted via phone (503) 396-5322.

Contact Information

Primary practice address
58147 Columbia River Hwy Suite C Saint Helens OR 97051-6226
Phone: (503) 396-5322
Fax: (503) 410-5678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1235670936
LBN Legal business name Addison, Elijawan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2017
Last updated Mar 14th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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