Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elijah Andersen, CRM

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649063116

Elijah Andersen, CRM is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone: (503) 740-1971
Fax: (503) 771-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24-CRM3164 (OR)

Record details

NPI number1649063116
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708

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