Individual
ELSBETH CANDICE LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
(503) 659-0880
(503) 513-7425
Mailing address
10151 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5705
(503) 659-0880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A132878
CA
207Q00000X
Family Medicine Physician
Primary
MD179475
OR
Other
Enumeration date
03/28/2013
Last updated
08/19/2020
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