Organization
ELYSIUM HEALTH COOPERATIVE
Active
Other names
EHCO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE N CULVER ND (PRESIDENT, CHIEF MEDICAL OFFICER)
(503) 765-6020
Entity
Organization
Contact information
Practice address
25195 SW PARKWAY AVE, WILSONVILLE, OR 97070-9651
(503) 765-6020
(503) 741-2184
Mailing address
20625 SW 90TH AVE, TUALATIN, OR 97062-6323
(503) 765-6020
(503) 741-2184
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2042
OR
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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