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ELIJAH ANDERSEN CRM
NPI 1649063116
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since May 27, 2025
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030(503) 740-1971(503) 771-2436 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, May 27, 2025 (2 updates tracked since 2025).

About Elijah Andersen Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH ANDERSEN CRM (NPI 1649063116) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (24-CRM3164) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1649063116
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameELIJAH ANDERSENCredential: CRM
Location Address1217 NE BURNSIDE RD STE 701Gresham, OR 97030-5770
Mailing Address10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708 · (503) 740-1971 · Fax (503) 771-2486
Phone(503) 740-1971
Fax(503) 771-2436
Sole ProprietorNo
Enumeration DateMay 27, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1649063116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 24-CRM3164
1217 NE BURNSIDE RD STE 701, Gresham, OR 97030
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN RIBBON ACUPUNCTURE, LLC
Clinic/Center (Health Service)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 839-5510
GWENDOLYN JOY KOCHAN LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 665-8959
SHANNON WELSH CRM, CADC
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
SHAILI R PAREKH QMHA
Rehabilitation Practitioner
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
IZABELLA JOHNSON QMHA-SOCIAL WORK
Counselor (Mental Health)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
EASTON HALLOCK CADC II, QMHA II
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
NATHAN KENNELLY CRM, CADC R
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-6449
BETHANIE WILSON CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Andersen's NPI number?

The NPI number for Elijah Andersen is 1649063116. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Elijah Andersen located?

Elijah Andersen practices at 1217 NE Burnside Rd Ste 701, Gresham, OR 97030. The listed phone number is (503) 740-1971.

What is Elijah Andersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elijah Andersen was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.