Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Marie Portelance, RD, RN, AG-ACNP-BC

Individual provider Nurse Practitioner · NPI 1962807917

Elizabeth Marie Portelance, RD, RN, AG-ACNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Oregon, Tennessee and Washington.

Years since qualifying
12
Licensed in
OR, TN, WA
In the registry since
2014
Specialties on file
4
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3303 SW Bond Ave CH8N
Portland, OR 97239
Phone: (503) 494-4314
Fax: (503) 346-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Goethals Drive Suite E, Richland, WA 99352 — (509) 942-3095

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201501606NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60551124 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 19334 (TN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP60551124 (WA)

Record details

NPI number1962807917
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , RN , AG-ACNP-BC
Sole proprietorYes
NPI enumeratedNovember 1, 2014
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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