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Elisabeth C Hootman, AGACNP
Gerontology Nurse Practitioner in Portland, Oregon
NPI 1851822399

Elisabeth C Hootman is a Gerontology Nurse Practitioner based in Portland, OR and is specialized in Gerontology. Elisabeth C Hootman practices in Portland, OR and has the professional credentials of AGACNP. The NPI Number for Elisabeth C Hootman is 1851822399 and holds a License No. AP133541 (Oregon).

The current practice location address for Elisabeth C Hootman is 4805 Ne Glisan St, Portland, OR and can be reached out via phone at 503-215-2392.

Location: 4805 Ne Glisan St, Portland, OR, 97208-3158
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Provider Profile Details
NPI Number
1851822399
Provider Name
Elisabeth C Hootman
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
4805 Ne Glisan St, Portland, OR, 97208-3158
Phone Number
503-215-2392
Fax Number
Provider Enumeration Date
03/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373156401 05 TX
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-2392
Fax Number
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-2392
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
201911036NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP133541 (Texas)
Definition
Definition to come...
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