ELISE WONG

PORTLAND, OR
NPI1902291461
Entity TypeOrganization
Authorized ContactELISE WONG
Doctor
503-477-5051
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2015-04-01
Last Update Date2015-04-01
Business Address
ELISE WONG
1110 SE ALDER ST STE 201
PORTLAND, OR 97214-2400
Phone number: 503-477-5051
Mailing Address
ELISE WONG
1110 SE ALDER ST STE 201
PORTLAND, OR 97214-2400
Phone number: 503-477-5051
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