| Evolve And Elevate, Llc | |
|
2000 Ne 42nd Ave # 1085 Portland OR 97213-1399 | |
| (971) 710-8287 | |
| (503) 821-7821 |
| Full Name | Evolve And Elevate, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2000 Ne 42nd Ave # 1085, Portland, Oregon |
| Authorized Official Name and Position | Torrey A Thille (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9717108287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve And Elevate, Llc 2093 Nw Yucca Way Redmond OR 97756-8549 Ph: (971) 710-8287 | Evolve And Elevate, Llc 2000 Ne 42nd Ave # 1085 Portland OR 97213-1399 Ph: (971) 710-8287 |
| NPI Number | 1316661010 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316661010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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