Individual provider · Type 1 NPI

Elizabeth Marie Portelance, RD, RN, AG-ACNP-BC

Acute Care Nurse Practitioner · Portland, OR

NPI number 1962807917 Active

Practice location

3303 SW Bond Ave, CH8N
Portland, OR 97239

Fax (503) 346-6810

Mailing address

3303 SW Bond Ave., CH8N
Portland, OR 97239

Other practice locations

  • 1100 Goethals Drive Suite E, Richland, WA 99352 · (509) 942-3095

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP60551124 (WA)
Acute Care Nurse Practitioner 363LA2100X19334 (TN)
Acute Care Nurse Practitioner 363LA2100XAP60551124 (WA)
Acute Care Nurse Practitioner Primary 363LA2100X201501606NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1962807917

Elizabeth Marie Portelance, RD, RN, AG-ACNP-BC's National Provider Identifier is 1962807917, issued on Nov 1, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2018.