| Elite Primary Care Llc | |
|
12952 Nw Creekview Dr Portland OR 97229-8354 | |
| (503) 704-6726 | |
| Not Available |
| Full Name | Elite Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12952 Nw Creekview Dr, Portland, Oregon |
| Authorized Official Name and Position | Poonam Walia Chhibber (OWNER) |
| Authorized Official Contact | 5037046726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Primary Care Llc 12952 Nw Creekview Dr Portland OR 97229-8354 Ph: (503) 704-6726 | Elite Primary Care Llc 12952 Nw Creekview Dr Portland OR 97229-8354 Ph: (503) 704-6726 |
| NPI Number | 1225838071 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225838071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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