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NPI 1013017664

IndividualActive

Elise Hewitt, DC, CST, DICCP

NPI 1013017664 · Pediatric Chiropractor · Portland, OR

Provider details

NPI number: 1013017664
Entity type: Individual
Primary specialty: Pediatric ChiropractorChiropractic Providers
Credential: DC, CST, DICCP
Sex: Female
Sole proprietor: No
License: 2473 (OR)

Practice location

2031 E Burnside St

Portland, OR 97214-1649

Phone: (503) 224-2100

Fax: (503) 224-2129

More OR providers

Mailing address

2031 E Burnside St

Portland, OR 97214-1649

Registry dates

Enumerated: 2006-09-24
Last updated: 2010-01-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Elise Hewitt, DC, CST, DICCP — NPI 1013017664, Portland, OR | NPI Central