Caroleigh Elliott, Dc | |
7524 Se Milwaukie Ave Portland OR 97202-6113 | |
(971) 212-0045 | |
(503) 238-1110 |
Full Name | Caroleigh Elliott, Dc |
---|---|
Speciality | Clinic/center |
Location | 7524 Se Milwaukie Ave, Portland, Oregon |
Authorized Official Name and Position | Caroleigh Jean Elliott (OWNER) |
Authorized Official Contact | 9712120045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caroleigh Elliott, Dc 7524 Se Milwaukie Ave Portland OR 97202-6113 Ph: (971) 212-0045 | Caroleigh Elliott, Dc 7524 Se Milwaukie Ave Portland OR 97202-6113 Ph: (971) 212-0045 |
NPI Number | 1679827513 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679827513 | NPI | - | NPPES |
1649546060 | Other | OR | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3171 (Oregon) | Primary |
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