Organization
ELDERHEALTH & LIVING, CORPORATION
Active
Other names
ElderHealth & Living
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PORTER VON WELLSHEIM GNP (MEDICAL DIRECTOR CEO)
(541) 747-4858
Entity
Organization
Contact information
Practice address
382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
(541) 747-4858
(541) 747-5322
Mailing address
382 S 58TH ST STE B, SPRINGFIELD, OR 97478-7623
(541) 747-4858
(541) 747-5322
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
1748265563
OR
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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