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NPI Code Detail

MEDICARE: ELYSIA SWINDELL

MEDICARE:   ELYSIA  SWINDELL
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
1172V00000XCommunity Health Worker115983OR

General Provider Information

NPI Number : 1447109517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELYSIA SWINDELL
Provider Business Mailing Address
First Line : 9000 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3091
Country : US
Telephone Number : 503-988-5558
Fax Number :
Provider Business Practice Location Address
First Line : 9000 N LOMBARD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3091
Country : US
Telephone Number : 503-988-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ ELYSIA SWINDELL ” Practice Location

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