Elise Foster
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1366043101
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1366043101
- Entity type
- Individual (NPI-1)
- Name
- Elise Foster
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 63874 | OR | Yes |
Practice location
4040 Ne Fremont StPortland, OR 97212-1952
Phone 503-493-4463
Mailing address
18450 Ne Ribbon Ridge RdNewberg, OR 97132-6566
Phone 503-476-2511
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