Individual provider · Type 1 NPI

Elena Moyle Burnett, MS

Women's Hospital · Portland, OR

NPI number 1043613409 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-4207 Map

Fax (503) 494-2759

Mailing address

3939 SW Bond Ave Apt 209
Portland, OR 97239-4596

Specialties and licenses

TaxonomyCodeLicense
Women's Hospital Primary 282NW0100XNone listed

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About NPI 1043613409

Elena Moyle Burnett, MS's National Provider Identifier is 1043613409, issued on Sep 30, 2014. The primary taxonomy on file is Women's Hospital (282NW0100X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2014.