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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

NPI Number 1154298677
LBN Legal business name ELEMENTAL PEDIATRICS, LLC
Authorized official LYNNE FROST BARON - (EXECUTIVE CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2025
Last updated 11/14/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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