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General NPI Number Information
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NPI Number | 1891651931
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Entity Type | Organization
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Legal Business Name | ELORE HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 35 NE WEIDLER ST
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City | PORTLAND
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State | OR
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Zip | 97232-1118
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Country | US
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Telephone | 971-202-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 35 NE WEIDLER ST
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City | PORTLAND
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State | OR
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Zip | 97232-1118
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Country | US
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Telephone | 971-202-2442
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DNP
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Name | ROSELYNE A OGOLA-MWANGALE
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Credential | DPN, PMHNP, FNP
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Telephone | 971-202-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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