Individual
SOPHIA ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 SE HAWTHORNE BLVD, PORTLAND, OR 97214-2945
(503) 232-3930
Mailing address
3939 SW BOND AVE APT 613, PORTLAND, OR 97239-4697
(541) 207-4051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0011444
OR
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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