Individual
ELAINE SUE VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10024 SE 32ND AVE, MILWAUKIE, OR 97222-6514
(503) 659-4988
(503) 654-5666
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 353-1278
(503) 654-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15023
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111351
—
OR
Enumeration date
09/27/2006
Last updated
10/24/2016
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