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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972764777 NPPES
Oregon MEDICAID 500623508

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