Individual
E'LAN C CALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 ROCK LEDGE DR NE, KEIZER, OR 97303-1810
(503) 960-0650
(503) 214-7265
Mailing address
1827 SE 38TH AVE, PORTLAND, OR 97214-5206
(503) 960-0650
(503) 214-7265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201330176LPN
OR
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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