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Organization

ELITE MEDICAL SERVICES PNW LLC

Active
Other names
Elite Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLA NIXON FNP-C (OWNER)
(626) 423-4693
Entity
Organization

Contact information

Practice address
1216 13TH ST, HOOD RIVER, OR 97031-1612
(541) 357-7750
Mailing address
1216 13TH ST, HOOD RIVER, OR 97031-1612
(541) 357-7750

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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