Provider Demographics
NPI:1952791477
Name:SITT, ELIOT (LAC)
Entity Type:Individual
Prefix:MR
First Name:ELIOT
Middle Name:
Last Name:SITT
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 SE WASHINGTON ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-7647
Mailing Address - Country:US
Mailing Address - Phone:541-680-5660
Mailing Address - Fax:503-659-0445
Practice Address - Street 1:2305 SE WASHINGTON ST
Practice Address - Street 2:SUITE 109
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7647
Practice Address - Country:US
Practice Address - Phone:541-680-5660
Practice Address - Fax:503-659-0445
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC169842171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist