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DR. ELISE JAN FULSANG MD
NPI 1952305385
Internal Medicine in Portland, OR

Active since June 13, 2005
300 N GRAHAM ST, SUITE 200, PORTLAND, OR 97227(503) 413-4134(503) 413-1895 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elise Jan Fulsang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELISE JAN FULSANG MD (NPI 1952305385) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD23553) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1952305385
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ELISE JAN FULSANGCredential: MD
Location Address300 N GRAHAM ST, SUITE 200Portland, OR 97227-1683
Mailing Address24800 Se Stark St., Suite 200Gresham, OR 97030 · (503) 674-1391 · Fax (503) 413-1895
Phone(503) 413-4134
Fax(503) 413-1895
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateApril 6, 2011
✔ NPI 1952305385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD23553
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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 N GRAHAM ST, Portland, OR 97227
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Other Identifiers 3

Medicare UPINH95309OR
Medicare ID-Type Unspecified130413OR
Medicaid232402OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN D MOYER M.D.
Pediatrics (Pediatric Gastroenterology)
300 N GRAHAM ST, SUITE 420
PORTLAND, OR 97227
Multnomah County (503) 281-5139
PEDIATRIC CARDIOLOGY CENTER OF OREGON PC
Pediatrics (Pediatric Cardiology)
300 N GRAHAM ST, SUITE 250
PORTLAND, OR 97227
Multnomah County (503) 280-3418
MATTHEW RYAN RILEY MD
Pediatrics (Pediatric Gastroenterology)
300 N GRAHAM ST, SUITE 420
PORTLAND, OR 97227
Multnomah County (503) 281-5139
DR. JENNIFER CAROL PRUNTY O.D.
Optometrist
300 N GRAHAM ST, SUITE 300
PORTLAND, OR 97227
Multnomah County (503) 413-3030
DR. MICHAEL HELMY TEWFIK M.D.
Internal Medicine
300 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Multnomah County (503) 413-4134
DR. LORI J. FARRELL M.D.
Internal Medicine
300 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Multnomah County (503) 413-4134
DUNCAN REESE NEILSON JR. MD
Obstetrics & Gynecology
300 N GRAHAM ST, STE 100 MEDICAL PLAZA BLDG LEGACY EMANUEL HOSPITAL
PORTLAND, OR 97227
Multnomah County (503) 413-3622
WILLIAM FRANCIS MARSHALL JR. MD
Pediatrics (Pediatric Gastroenterology)
300 N GRAHAM ST, SUITE 420
PORTLAND, OR 97227
Multnomah County (503) 281-5139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Fulsang's NPI number?

The NPI number for Elise Fulsang is 1952305385. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Elise Fulsang located?

Elise Fulsang practices at 300 N Graham St Suite 200, Portland, OR 97227. The listed phone number is (503) 413-4134.

What is Elise Fulsang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Elise Fulsang was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.