MEDICARE: ELIZABETH HARVEY MA, CADC I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	R10700	OR

General Provider Information

NPI Number	:	1184575953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HARVEY MA, CADC I

Provider Business Mailing Address
First Line	:	609 NE BAKER ST STE 260
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-4950
Country	:	US
Telephone Number	:	971-213-5025
Fax Number	:	971-228-5431

Provider Business Practice Location Address
First Line	:	7175 SW BEVELAND RD STE 200
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-8665
Country	:	US
Telephone Number	:	971-213-5025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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