Individual
DR. CLAY ANTHONY ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
O-0576
ID
2085R0202X
Diagnostic Radiology Physician
OP 60163812
WA
2085R0204X
Vascular & Interventional Radiology Physician
162380
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DO 168953
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104132497
UNKNOWN
WA
Enumeration date
08/24/2010
Last updated
02/10/2022
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