Individual
ELTIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHT
Contact information
Practice address
15171 BANGY RD, SUITE 121, LAKE OSWEGO, OR 97035-3270
(503) 544-9700
Mailing address
6025 CARMAN DR, LAKE OSWEGO, OR 97035-4069
(503) 544-9700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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