Individual
ELISSA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5806 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-7508
(757) 831-6927
Mailing address
5806 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-7508
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
OR
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/26/2019
Last updated
11/27/2023
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