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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELISE JAN FULSANG, MD

Active

DR. ELISE JAN FULSANG, MD is a Internal Medicine healthcare provider located in PORTLAND, Oregon. NPI 1952305385 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PORTLAND, OR

Registration Details

NPI Number
1952305385
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2005 (21.126044506661 yrs)
Last Updated
Apr 6, 2011
License
MD23553 (OR)

Practice Information

Address
300 N GRAHAM ST
SUITE 200
PORTLAND, OR, 972271683
Browse OR providers · Browse ZIP 97227
Phone
5034134134
Fax
5034131895
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in PORTLAND, OR

Name Credential NPI
TIMOTHY S CLEARY M.D. 1215933411
ANDRIS ANTONISKIS MD 1528067972
RHONDA C TIERNEY M.D. 1447250360
THOMAS G GRAGNOLA MD 1144220765
MARCIA M KERENSKY MD 1053311670
DONALD A VALERIO MD 1962402586
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.