Individual
ELIJAH JONATHAN HORESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
3303 S BOND AVE # CH16D, PORTLAND, OR 97239-4501
(503) 494-1375
Mailing address
3303 S BOND AVE # CH16D, PORTLAND, OR 97239-4501
(503) 494-1375
(503) 346-8106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PG227313
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
03/19/2026
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