Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elaine Imoniruwe

Individual provider Physical Therapy Assistant · NPI 1376948646

Elaine Imoniruwe is a Physical Therapy Assistant in Wilsonville, Oregon. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

25117 SW Parkway Ave Ste.d
Wilsonville, OR 97070-9697
Phone: (971) 224-2040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.006945 (IL)

Record details

NPI number1376948646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESOctober 29, 2014
Mailing address8646 S Ingleside Ave Apt 2c, Chicago, IL 60619-6373

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