Individual
ELAINA FURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201705164RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201906727NP-PP
OR
Other
Enumeration date
04/05/2018
Last updated
06/18/2020
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