Hootman, Elisabeth C

Hootman, Elisabeth C is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hootman, Elisabeth C can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP133541 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201911036NP-PP Oregon

Profile Details

NPI number 1851822399
LBN Legal business name Hootman, Elisabeth C
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851822399 NPPES
Texas MEDICAID 373156401

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