DR. Elise Jan Fulsang, MD

NPI #1952305385 in Portland, Oregon

Provider Information

NPI Number: 1952305385
Entity Type: Individual
Name: DR. Elise Jan Fulsang, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 13, 2005
Last Updated: Apr 6, 2011

Practice Location

Address: 300 N GRAHAM ST
Address 2: SUITE 200
City: Portland
State: Oregon
ZIP Code: 97227-1683
Phone: (503) 413-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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