NPI 1548667918

Eleven Eleven, LLC

Organisation Medical Art Specialist/Technologist Portland, OR

Practice location

Address: 6714 SW 62nd Place, Portland, OR 97219
Phone: (503) 956-9773

Authorised official

Name: Erik Berntsen
Title: Owner
Phone: (503) 956-9773

Registered specialties

Medical Art Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZA2600X Licence BAP-TA-10133461 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Registry record

NPI: 1548667918
Entity type: Organization
NPI issued: 1 Dec 2014
Record last updated: 1 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.