Individual
MS. KATHERINE D. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3710 SW US VETERANS ROAD, P3MHDC, PORTLAND, OR 97204-1034
(503) 273-5187
(503) 280-3499
Mailing address
P OBOX 1034, P3MHDC, PORTLAND, OR 97204-1034
(503) 273-5187
(503) 280-3499
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
79043305
OR
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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