Individual
ELENA POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N CLOVERLEAF LOOP, SPRINGFIELD, OR 97477-1167
(541) 736-3990
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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