NPI 1669713491 MICHELLE MARTINA ELLIOTT CADC I REDMOND OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Michelle Martina Elliott - NPI: 1669713491

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MICHELLE MARTINA ELLIOTT
NPI Number: 1669713491
Entity Type Code: Individual (1)
Gender: F
Credentials: CADC I
License Number: 10-12-15
Business Practice Address: 125 Sw C St
Madras, OR - 977411458
Business Phone Number: 5415164087
Business Fax Number: 5415041195
Mailing Address: Po Box 1710,
REDMOND
State: OR
Postal Code: 977560516
Phone Number: 5415164087
Fax Number: 5415041195
NPI Enumeration Date: 03/04/2013
NPI Last Update Date: 03/04/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 10-12-15
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OR
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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