NPI 1013017664

Elise G. Hewitt, DCCSTDICCP

Practitioner Pediatric Chiropractor Portland, OR

Practice location

Address: 2031 E Burnside St, Portland, OR 97214-1649
Phone: (503) 224-2100
Fax: (503) 224-2129

Registered specialties

Pediatric Chiropractor Primary

Chiropractic Providers Taxonomy 111NP0017X Licence 2473 (OR)

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Registry record

NPI: 1013017664
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2006
Record last updated: 6 Jan 2010

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.