Individual
DR. ELYSE M ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D
Contact information
Practice address
049 SW PORTER ST, PORTLAND, OR 97201-4878
(503) 552-1830
Mailing address
6745 SW SCHOLLS FERRY RD APT 18, BEAVERTON, OR 97008-5498
(909) 200-9532
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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