Individual
ELENA C MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, LAC
Contact information
Practice address
30 W MAIN ST STE 202, WALLA WALLA, WA 99362-2872
(509) 526-6944
Mailing address
3316 SE STEPHENS ST, PORTLAND, OR 97214-5055
(503) 740-1686
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
156530
OR
171100000X
Acupuncturist
AC60404698
WA
363LF0000X
Family Nurse Practitioner
Primary
093006358N1
OR
363LF0000X
Family Nurse Practitioner
AP60403410
WA
Other
Enumeration date
01/24/2007
Last updated
11/15/2021
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