Elovitz, Mitchell Scott
Elovitz, Mitchell Scott is an sole proprietor health care provider with primary practice located at 15100 Boones Ferry Rd , Lake Oswego OR 97035-3469. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Elovitz, Mitchell Scott can be contacted via phone (503) 804-3063.Contact Information
Primary practice address
15100 Boones Ferry Rd
Lake Oswego OR 97035-3469
Phone: (503) 804-3063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 05-07-69U3 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C1693 | Oregon |
Profile Details
| NPI number | 1720123417 |
|---|---|
| LBN Legal business name | Elovitz, Mitchell Scott |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720123417 | NPPES |
| Oregon | MEDICAID | 164936 | |
| Oregon | Other | 05-07-69U3 | |
| Oregon | Other | C 1693 |
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