Elise Wong
Elise Wong is a Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
Practice location Address checks out
1110 SE Alder St Ste 201Portland, OR 97214-2400
Phone: (503) 477-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (OR) |
|---|
Record details
| NPI number | 1902291461 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Elise Wong |
| Authorized official | Elise Wong — Doctor · (503) 477-5051 |
| NPI enumerated | April 1, 2015 |
| Last updated in NPPES | April 1, 2015 |
| Mailing address | 1110 Se Alder St, Ste 201, Portland, OR 97214-2400 |
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