Individual
ELIZABETH ANN MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(503) 221-3434
(503) 221-3490
Mailing address
930 NW 12TH AVE APT 212, PORTLAND, OR 97209-3067
(860) 670-0345
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201806162NP-PP
OR
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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