Organization · Type 2 NPI
Elysium Health Cooperative
Primary Care Clinic/Center · Wilsonville, OR
NPI number
1790179323
Active
Practice location
25195 SW Parkway Ave
Wilsonville, OR 97070-9651
Fax (503) 741-2184
Mailing address
20625 SW 90th Ave
Tualatin, OR 97062-6323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 2042 (OR) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Wilsonville
About NPI 1790179323
Elysium Health Cooperative's National Provider Identifier is 1790179323, issued on Mar 20, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wilsonville, OR. The record was last updated on Mar 20, 2015.