National Provider Identifier Database

ELEMENTAL PEDIATRICS LLC
Pediatrics


Contact Information

ELEMENTAL PEDIATRICS, LLC
1113 JUNE ST
HOOD RIVER, OR97031-1512
Phone: 541-224-7951
Fax: 541-224-7952
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for ELEMENTAL PEDIATRICS, LLC

NPI Number 1154298677
Legal business name
LBN
ELEMENTAL PEDIATRICS, LLC
Authorized official LYNNE FROST BARON - (EXECUTIVE CLINICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/20/2025
Last updated 11/14/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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