Individual
ELAINE HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130736
—
AZ
Enumeration date
11/21/2006
Last updated
05/16/2025
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