Provider Demographics
NPI:1568135234
Name:ELWOOD, ADAM JOSHUA (MS LPC NCC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSHUA
Last Name:ELWOOD
Suffix:
Gender:M
Credentials:MS LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SE ALDER ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2400
Mailing Address - Country:US
Mailing Address - Phone:503-743-8041
Mailing Address - Fax:971-351-6858
Practice Address - Street 1:1110 SE ALDER ST STE 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2400
Practice Address - Country:US
Practice Address - Phone:503-743-8041
Practice Address - Fax:971-351-6858
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health