Provider Demographics
NPI:1467642645
Name:STERN, ELINOR R (PT)
Entity Type:Individual
Prefix:MS
First Name:ELINOR
Middle Name:R
Last Name:STERN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:NORA
Other - Middle Name:R
Other - Last Name:STERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:9135 SW BARNES RD
Mailing Address - Street 2:SUITE 362
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6601
Mailing Address - Country:US
Mailing Address - Phone:503-216-8073
Mailing Address - Fax:503-216-4071
Practice Address - Street 1:9135 SW BARNES RD
Practice Address - Street 2:SUITE 362
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6601
Practice Address - Country:US
Practice Address - Phone:503-216-8073
Practice Address - Fax:503-216-4071
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3189225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist