# ELDERHEALTH & LIVING, CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ElderHealth & Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003965880
- **Authorized official:** ELIZABETH PORTER VON WELLSHEIM GNP (MEDICAL DIRECTOR CEO)
- **Authorized official phone:** (541) 747-4858

## Contact information

- **Practice address:** 382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
- **Practice address phone:** (541) 747-4858
- **Practice address fax:** (541) 747-5322
- **Mailing address:** 382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
- **Mailing address phone:** (541) 747-4858
- **Mailing address fax:** (541) 747-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 1748265563 | OR | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020