Fulsang, Elise Jan
Fulsang, Elise Jan is an individual health care provider with primary practice located at 300 N Graham St Suite 200, Portland OR 97227-1683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fulsang, Elise Jan can be contacted via phone (503) 413-4134.Contact Information
Primary practice address
300 N Graham St Suite 200
Portland OR 97227-1683
Phone: (503) 413-4134
Fax: (503) 413-1895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23553 | Oregon |
Profile Details
| NPI number | 1952305385 |
|---|---|
| LBN Legal business name | Fulsang, Elise Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Apr 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952305385 | NPPES |
| Oregon | MEDICAID | 232402 |
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