Individual
DR. ELISSA C MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
314 NE 19TH AVE # AVW, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Mailing address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1435
OR
Other
Enumeration date
08/10/2007
Last updated
05/21/2013
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