Individual provider · Type 1 NPI

Lily Elmer

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1356905368 Active

Practice location

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876

Call (510) 268-8120 Map

Mailing address

2501 E 2nd St Apt 4
Newberg, OR 97132-2162

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356905368

Lily Elmer's National Provider Identifier is 1356905368, issued on Apr 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2019.