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Individual

DR. ELISE G. HEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC, CST, DICCP

Contact information

Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
2473
OR

Other

Enumeration date
09/24/2006
Last updated
01/06/2010
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