| Elemental Medicine | |
|
2915 Se Belmont St Suite 1 Portland OR 97214 | |
| (503) 505-9677 | |
| Not Available |
| Full Name | Elemental Medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2915 Se Belmont St, Portland, Oregon |
| Authorized Official Name and Position | Carrie N Ebling (PARTNER) |
| Authorized Official Contact | 5035059677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Medicine 2915 Se Belmont St Suite 1 Portland OR 97214 Ph: (503) 505-9677 | Elemental Medicine 2915 Se Belmont St Suite 1 Portland OR 97214 Ph: (503) 505-9677 |
| NPI Number | 1316241078 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 01/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316241078 | NPI | - | NPPES |
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