Individual
MRS. ERO ELISE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12755 SW WATKINS AVE, TIGARD, OR 97223-5124
(503) 620-8067
Mailing address
12755 SW WATKINS AVE, TIGARD, OR 97223-5124
(503) 620-8067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
081000027
OR
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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