ELISE JAN FULSANG

PORTLAND, OR
NPI1952305385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD23553)
Enumeration Date2005-06-13
Last Update Date2011-04-06
Business Address
Dr. ELISE JAN FULSANG MD
300 N GRAHAM ST SUITE 200
PORTLAND, OR 97227-1683
Phone number: 503-413-4134
Mailing Address
Dr. ELISE JAN FULSANG MD
24800 SE STARK ST. SUITE 200
GRESHAM, OR 97030
Phone number: 503-674-1391
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