Individual
ELIZABETH NATALIA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1220 SE 25TH AVE, PORTLAND, OR 97214-3916
(619) 647-0402
Mailing address
1220 SE 25TH AVE, PORTLAND, OR 97214-3916
(619) 647-0402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10010632
OR
251300000X
Local Education Agency (LEA)
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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