Individual
SEAN PAUL ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMNP
Contact information
Practice address
1500 NE IRVING ST STE 210, PORTLAND, OR 97232-2243
(425) 477-4215
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(623) 738-3182
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10017850
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP11821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445283
—
AZ
Enumeration date
10/09/2018
Last updated
07/25/2025
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