Individual
CALLIA KUMIKO ELKHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD204485
OR
2080P0203X
Pediatric Critical Care Medicine Physician
MD204485
OR
Other
Enumeration date
03/30/2018
Last updated
02/08/2024
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