Active NPI
Laura K Elvers
- Pharmacist
- Portland, OR
National Provider Identifier
1063746337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9527
- Practice address
- 6116 NE MLK
Portland, OR 97211 - Phone
- (503) 282-0689
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9527 | OR | Primary |
| Pharmacist | 183500000X | 12867 | WI |
Addresses
Primary practice location
6116 NE MLK
Portland, OR 97211
Mailing address
6116 NE MLK
Portland, OR 97211-3159
Phone (503) 282-0689
Other practice location 1
4816 NW Bethany Blvd
Portland, OR 97229-9254
Phone (503) 439-9014
Other names 1
- Laura K Elvers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9527 | OR | MD | Pharmacist |
| 12867 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Portland, OR
- NPI 1508871591
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1063746337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 NE MLK",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972113159",
"telephone_number": "503-282-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 NE MLK",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97211",
"telephone_number": "503-282-0689"
}
],
"practiceLocations": [
{
"address_1": "4816 NW Bethany Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972299254",
"country_code": "US",
"telephone_number": "503-439-9014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELVERS",
"first_name": "LAURA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9527",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ELVERS",
"middle_name": "K",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.