Organization
ELEMENTAL MEDICINE
Active
Organization
ELEMENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE N EBLING DC (PARTNER)
(503) 505-9677
Entity
Organization
Contact information
Practice address
2915 SE BELMONT ST, SUITE 1, PORTLAND, OR 97214
(503) 505-9677
Mailing address
2915 SE BELMONT ST, SUITE 1, PORTLAND, OR 97214
(503) 505-9677
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
3917
OR
261QM1300X
Multi-Specialty Clinic/Center
8058
OR
261QM1300X
Multi-Specialty Clinic/Center
AC153123
OR
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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