Anderson, Elise
Anderson, Elise is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 315, Portland OR 97213-2991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Anderson, Elise can be contacted via phone (503) 215-8580.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 315
Portland OR 97213-2991
Phone: (503) 215-8580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A104039 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD150867 | Oregon |
Profile Details
| NPI number | 1972764777 |
|---|---|
| LBN Legal business name | Anderson, Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Jan 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972764777 | NPPES |
| Oregon | MEDICAID | 500623508 |
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