Individual
ELENI M CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9135 SW BARNES RD STE 763, PORTLAND, OR 97225-6777
(503) 216-6050
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9111097
FL
363A00000X
Physician Assistant
Primary
PA211899
OR
363AM0700X
Medical Physician Assistant
PA9111097
FL
Other
Enumeration date
02/22/2018
Last updated
04/21/2023
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