Michelle Martina Elliott, CADC I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Madras, OR
NPI 1669713491 · NPPES record last updated Mar 4, 2013
Key facts
- NPI
- 1669713491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10-12-15 (OR)
- Practice address
- 125 SW C St
Madras, OR 97741-1458 - Phone
- (541) 516-4087
- Fax
- (541) 504-1195
- NPI assigned
- Mar 4, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10-12-15 | OR | Yes |
Addresses
Primary practice location
125 SW C St
Madras, OR 97741-1458
Mailing address
PO Box 1710
Redmond, OR 97756-0516
Phone (541) 516-4087
Other providers in Madras, OR
- Doug Willems D.C., P.C.
- Katie Dulohery
- East Cascade Retirement Community, LLC
- Taylor Ellenburg
- Ashley Ellers
- Royce William Embanks Jr.
- Athena Emerson
- Laura Anne Emerson
- Gustavo Adrian Enriquez Uribe
- Mischell B Espinoza
All providers in Madras, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.