Individual
LILY ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(510) 268-8120
Mailing address
2501 E 2ND ST APT 4, NEWBERG, OR 97132-2162
(971) 237-1519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
04/24/2019
Last updated
06/11/2019
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