OrganizationActive
Elysium Health Cooperative
NPI 1790179323 · Primary Care Clinic/Center · Wilsonville, OR
Provider details
- NPI number
- 1790179323
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Culver, President, Chief Medical Officer(503) 765-6020
- License
- 2042 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
25195 Sw Parkway Ave
Wilsonville, OR 97070-9651
Phone: (503) 765-6020
Fax: (503) 741-2184
Approximate (ZIP-level) locationGet directions
Mailing address
20625 Sw 90th Ave
Tualatin, OR 97062-6323
Other names (DBA / former)
- Doing business as
- Ehco
Registry dates
- Enumerated
- 2015-03-20
- Last updated
- 2015-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.