MEDICARE: ELIE DANCOUR

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
1	2084N0400X	Neurology Physician	MD186483	OR
2	2084V0102X	Vascular Neurology Physician	203760	CA

General Provider Information

NPI Number	:	1275824252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIE DANCOUR

Provider Business Mailing Address
First Line	:	1115 SE 164TH AVE DEPT 358
Second Line	:	4TH FLOOR SUITE 401
City	:	VANCOUVER
State	:	WA
Zip	:	98683-8004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 S ARROYO PKWY STE 400
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3264
Country	:	US
Telephone Number	:	833-787-6539
Fax Number	:	888-571-6437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2011
Last Update Date	:	02/26/2026

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Directions to “ ELIE DANCOUR ” Practice Location

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