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NPI Code Detail

MEDICARE: LILLIE ELKINS

MEDICARE: LILLIE ELKINS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1225970734
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIE ELKINS
Provider Business Mailing Address
First Line : 3131 SE 21ST AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-2317
Country : US
Telephone Number : 503-505-0522
Fax Number :
Provider Business Practice Location Address
First Line : 1110 SE ALDER ST STE 301
Second Line :
City : PORTLAND
State : OR
Zip : 97214-2400
Country : US
Telephone Number : 503-505-0522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ LILLIE ELKINS ” Practice Location

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