ELIS MADRIGAL

PORTLAND, OR
NPI1225265515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD156524)
Enumeration Date2009-06-15
Last Update Date2018-04-23
Business Address
ELIS MADRIGAL MD
10373 NE HANCOCK ST STE 110
PORTLAND, OR 97220-3873
Phone number: 503-383-1423
Mailing Address
ELIS MADRIGAL MD
10373 NE HANCOCK ST STE 110
PORTLAND, OR 97220-3873
Phone number: 503-383-1423