| Mitch Elovitz, Lpc, Llc | |
|
15100 Boones Ferry Rd Lake Oswego OR 97035-3469 | |
| (503) 804-3063 | |
| (503) 635-9127 |
| Full Name | Mitch Elovitz, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15100 Boones Ferry Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Mitchell Elovitz (OWNER) |
| Authorized Official Contact | 5038043063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitch Elovitz, Lpc, Llc 7766 Se 19th Ave Portland OR 97202-6209 Ph: (503) 804-3063 | Mitch Elovitz, Lpc, Llc 15100 Boones Ferry Rd Lake Oswego OR 97035-3469 Ph: (503) 804-3063 |
| NPI Number | 1033730056 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033730056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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