Elliott, Samuel Charles

Elliott, Samuel Charles is an individual health care provider with primary practice located at 4650 Sw Griffith Dr , Beaverton OR 97005-8719. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Elliott, Samuel Charles can be contacted via phone (503) 684-8159.

Contact Information

Primary practice address
4650 Sw Griffith Dr Beaverton OR 97005-8719
Phone: (503) 684-8159
Fax: (503) 598-0934
Website:
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Health care specialties

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

Profile Details

NPI number 1598981771
LBN Legal business name Elliott, Samuel Charles
Credentials CADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Feb 24th, 2016 - 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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