Provider Demographics
NPI:1508546946
Name:EINSTEIN, ELANA
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:
Last Name:EINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 SW 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-1743
Mailing Address - Country:US
Mailing Address - Phone:503-866-4620
Mailing Address - Fax:
Practice Address - Street 1:5803 SW 56TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-1743
Practice Address - Country:US
Practice Address - Phone:503-866-4620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula