Elise Wong is a Clinic/Center based in Portland, OR. Elise Wong practices in Portland, OR. The NPI Number for Elise Wong is 1902291461 and holds a License No. (Oregon).
The current practice location address for Elise Wong is 1110 Se Alder St, Portland, OR and can be reached out via phone at 503-477-5051.
Location: 1110 Se Alder St, Portland, OR, 97214-2400
Provider Profile Details
NPI Number
1902291461
Provider Name
Elise Wong
Credential
Provider Entity Type
Organization
Address
1110 Se Alder St, Portland, OR, 97214-2400
Phone Number
503-477-5051
Fax Number
Provider Enumeration Date
04/01/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1110 Se Alder St
City
State
Zip
97214-2400
Phone Number
503-477-5051
Fax Number
Provider Business Mailing Address Details
Address
1110 Se Alder St
City
State
Zip
97214-2400
Phone Number
503-477-5051
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Badge
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