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Organization
ELITE MEDICAL SERVICES PNW LLC
Active
Organization
ELITE MEDICAL SERVICES PNW LLC
Active
Other names
Elite Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NIXON FNP-C (OWNER)
(626) 423-4693
Entity
Organization
Contact information
Practice address
1216 13TH ST, HOOD RIVER, OR 97031-1612
(541) 357-7750
Mailing address
1216 13TH ST, HOOD RIVER, OR 97031-1612
(541) 357-7750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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