IndividualActive
Elisabeth Hootman, AGACNP
NPI 1851822399 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1851822399
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP133541 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-2392
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (2)
- 6550 Fannin St Ste 1601Houston, TX 77030-2717Phone: (713) 441-5141
- 6565 Fannin StHouston, TX 77030-2703Phone: (713) 441-4246
Registry dates
- Enumerated
- 2017-03-26
- Last updated
- 2022-07-21
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.