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Emily Elliott

Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).

NPI number1073453056
StatusActive
Last updated in NPPESMar 30, 2026

Details

NPI
1073453056
Entity type
Individual (NPI-1)
Name
Emily Elliott
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2026
Certification date
Mar 30, 2026
Last updated
Mar 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011

Phone 503-494-3760

Mailing address

6693 N Columbia Way
Portland, OR 97203-1806

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