Individual
STEPHANIE CHRISTINE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 515-7246
Mailing address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 515-7246
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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