Active NPIIndividual providerSole proprietor

Elie Adwani, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI Number1952262453
Practice location
4805 NE Glisan St, Portland, OR 97213-2933
Fax
—
Last updated
November 24, 2025

Elie Adwani, MD is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Elie Adwani, MD holds the professional credentials of MD. The NPI number for Elie Adwani, MD is 1952262453. The current practice location address is 4805 NE Glisan St, Portland, OR 97213-2933 and the office can be reached by phone at 503-215-6588. The NPI was assigned on November 24, 2025 and the record was last updated in NPPES on November 24, 2025.

●Provider Profile Details

NPI Number
1952262453
Provider Name
Elie Adwani
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
Yes
Enumeration Date
November 24, 2025
Last Update Date
November 24, 2025
Certification Date
November 23, 2025
NPI Status
Active

◉Business Practice Location Address

Address
4805 NE Glisan St
Portland, OR 97213-2933
State
Oregon
ZIP
97213-2933
Country
US
Phone Number
503-215-6588

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✉Business Mailing Address

Address
11007 SE Henderson Dr
Portland, OR 97266-5043
City
Portland
State
OR
ZIP
97266-5043
Phone Number
971-413-3399

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Elie Adwani, MD?

The NPI number of Elie Adwani, MD is 1952262453. It was assigned on November 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Elie Adwani, MD?

Elie Adwani, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Elie Adwani, MD practice?

The practice location is 4805 NE Glisan St, Portland, OR 97213-2933. The office can be reached at 503-215-6588 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952262453 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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