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NPI Code Detail

MEDICARE: ELENA PERELET

MEDICARE: ELENA PERELET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist26933OR

General Provider Information

NPI Number : 1093551053
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA PERELET
Provider Business Mailing Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number : 503-956-9396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2024
Last Update Date : 07/08/2024

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Directions to “ ELENA PERELET ” Practice Location

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