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Contact Information

PHYLLIS ELZEA, LCSW
10700 SW BEAVERTON HILLSDALE HWY
SUITE 525
BEAVERTON, OR97005-3019
 Phone: 503-241-2276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for PHYLLIS ELZEA · (Female)

NPI # 1033351838
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/26/2009
Last updated 08/17/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # #721
  • OR Other EIN 27-0049633 US DEPARTMENT OF TREASURY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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