Individual
ELIS MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10373 NE HANCOCK ST STE 110, PORTLAND, OR 97220-3873
(503) 383-1423
Mailing address
10373 NE HANCOCK ST STE 110, PORTLAND, OR 97220-3873
(503) 383-1423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD156524
OR
Other
Enumeration date
06/15/2009
Last updated
04/23/2018
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