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Contact Information

ELEMENTAL PEDIATRICS, LLC
1113 JUNE ST
HOOD RIVER, OR97031-1512
 Phone: 541-224-7951
 Fax: 541-224-7952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELEMENTAL PEDIATRICS LLC · (Female)

NPI # 1154298677
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2025
Last updated 11/14/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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