SearchWashington101YM0800X

E'Lon Mack

NPI 1124658356 · on the registry since 2020 · sole proprietor

Practice

Address
1498 Se Tech Center Pl Ste 300
Vancouver, WA 98683
Phone
(360) 931-1137
Organisation at this address
River Rock Church
Actriv Healthcare Inc.
Real Life Counseling Pllc
Ben Huckett Health Services Pc
Northwest Cancer Specialists Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
132

Additional practice sites

  • 1675 Sw Marlow Ave Ste 200, Portland, OR

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106S00000X
101Y00000X
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington