Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH RACHEL SUPER, MD
ActiveELIZABETH RACHEL SUPER, MD is a Sleep Medicine (Pediatrics) healthcare provider located in PORTLAND, Oregon. NPI 1326258773 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine (Pediatrics) · PORTLAND, OR
Registration Details
- NPI Number
- 1326258773
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.254934690507 yrs)
- Last Updated
- Sep 27, 2012
- Licenses
-
MD28247 (OR)MD60151864 (WA)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDDC10SPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034948311
- Primary Specialty
-
Sleep Medicine (Pediatrics)
2080S0012X
- Additional Specialty
- Pediatrics
Other Sleep Medicine (Pediatrics) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TANVI HATHIWALA MUKUNDAN | M.D. | 1851658470 |
| JILLIAN NICOLE SANFORD | MD | 1891038832 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.