Individual
ELIE ADWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6588
Mailing address
11007 SE HENDERSON DR, PORTLAND, OR 97266-5043
(971) 413-3399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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