Organization Active NPI

Elise Wong

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1902291461
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELISE WONG
Practice address
1110 SE Alder St
Ste 201
Portland, OR 97214-2400
Phone
(503) 477-5051
NPI assigned
Apr 1, 2015
Organization subpart
Yes
Parent organization
ELISE WONGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elise Wong, ND, LAC
Title
Doctor
Phone
(503) 477-5051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OR Primary

Addresses

Primary practice location

1110 SE Alder St
Ste 201
Portland, OR 97214-2400

Mailing address

1110 SE Alder St
Ste 201
Portland, OR 97214-2400
Phone (503) 477-5051

National Provider Directory

National Provider Directory
Part of
Elise Wong

Locations

1110 SE Alder St
Ste 201
Portland, OR 97214
Phone (503) 477-5051

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1902291461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST",
            "address_2": "STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "503-477-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST",
            "address_2": "STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "503-477-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE WONG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELISE WONG",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-477-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.