# ELITE MEDICAL SERVICES PNW LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316698764
- **Authorized official:** KAYLA NIXON FNP-C (OWNER)
- **Authorized official phone:** (626) 423-4693

## Contact information

- **Practice address:** 1216 13TH ST, HOOD RIVER, OR 97031-1612
- **Practice address phone:** (541) 357-7750
- **Mailing address:** 1216 13TH ST, HOOD RIVER, OR 97031-1612
- **Mailing address phone:** (541) 357-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 01/17/2022