Dr ELISE D ANDERSON is a female medical professional, specializing in Neurology. She graduated in 2006 from University Of Southern California School Of Medicine.
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT
454 PROVIDENCE MED GROUP
PORTLAND
OR
972132984
Tel: 5032156405
| Npi | 1972764777 |
| Pac Id | 9931225794 |
| Professional Enrollment Id | I20100929000774 |
| Last Name | ANDERSON |
| First Name | ELISE |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 0648183608 |
| Number Of Group Practice Members | 1139 |
| Line 1 Street Address | 5050 NE HOYT |
| Line 2 Street Address | 454 PROVIDENCE MED GROUP |
| Marker Of Address Line 2 Suppression | |
| City | PORTLAND |
| State | OR |
| Zip Code | 972132984 |
| Phone Number | 5032156405 |
| Hospital Affiliation Ccn 1 | 380061 |
| Hospital Affiliation Lbn 1 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380004 |
| Hospital Affiliation Lbn 2 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 381303 |
| Hospital Affiliation Lbn 3 | PROVIDENCE SEASIDE HOSPITAL |
| Hospital Affiliation Ccn 4 | 380038 |
| Hospital Affiliation Lbn 4 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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