Elise Jan Fulsang in Gresham - Internal Medicine
Elise Jan Fulsang - NPI 1952305385
Elise Jan Fulsang is a Internal Medicine in Gresham, Oregon. Elise Jan Fulsang practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Elise Jan Fulsang is 1952305385. The last update date is 2011-04-06.
Elise Jan Fulsang's current location address is 24800 Se Stark St., Gresham, Oregon. You can contact this provider via phone number 5036741391 and fax number 5034131895. The mailing address for Elise Jan Fulsang is 24800 Se Stark St., Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elise Jan Fulsang |
|---|---|
| Address | 24800 Se Stark St., Gresham, Oregon |
| Phone Number | 5036741391 |
| Fax Number | 5034131895 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952305385 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2011-04-06 |
Provider Mailing Address Detail
| Address | 24800 Se Stark St. |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970300 |
| Phone Number | 5036741391 |
| Fax Number | 5034131895 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD23553 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 232402 | OR | -- |
Post Comment/ Review Below
What is the Elise Jan Fulsang's 1952305385?
The Elise Jan Fulsang's NPI (National Provider Identifier) Number is 1952305385. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Elise Jan Fulsang located?
The Elise Jan Fulsang is located at 24800 Se Stark St., Gresham, OR 970300.
What is Elise Jan Fulsang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elise Jan Fulsang's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952305385 to Elise Jan Fulsang?
The Centers for Medicare & Medicaid Services originally issued the 1952305385 to Elise Jan Fulsang on 2005-06-13.
When was the information related to Elise Jan Fulsang most recently updated or refreshed?
The details pertaining to the Elise Jan Fulsang, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-06.