Organization
ELISE WONG
Active
Parent organization
ELISE WONG
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELISE WONG
Authorized official
DR. ELISE WONG ND, LAC (DOCTOR)
(503) 477-5051
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST, STE 201, PORTLAND, OR 97214-2400
(503) 477-5051
Mailing address
1110 SE ALDER ST, STE 201, PORTLAND, OR 97214-2400
(503) 477-5051
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
OR
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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