Elliott, Michelle Martina

Elliott, Michelle Martina is an individual health care provider with primary practice located at 125 Sw C St , Madras OR 97741-1458. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Elliott, Michelle Martina can be contacted via phone (541) 516-4087.

Contact Information

Primary practice address
125 Sw C St Madras OR 97741-1458
Phone: (541) 516-4087
Fax: (541) 504-1195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10-12-15 Oregon

Profile Details

NPI number 1669713491
LBN Legal business name Elliott, Michelle Martina
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 12 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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