DR. ELISE JAN FULSANG (MD) – Internal Medicine Physician, NPI 1952305385

DR. ELISE JAN FULSANG (MD) is a healthcare provider. based in Gresham, Oregon. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD23553 (OR). The NPI Number for DR. ELISE JAN FULSANG (MD) is 1952305385

Main info

Female
Name
DR. ELISE JAN FULSANG (MD)
NPI
1952305385
Phone
(503) 674-1391
Address
24800 SE STARK ST.
Enumeration Date
13 June 2005
Last Update Date
6 April 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ELISE JAN FULSANG (MD)

  • Legacy Mount Hood Medical Center, 24800, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    SUITE 200

    GRESHAM, OR 97030

    Phone: (503) 674-1391

    Fax: (503) 413-1895

    Type: Mailing

  • Legacy Medical Group- Northeast, 300, North Graham Street, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States

    SUITE 200

    PORTLAND, OR 972271683

    Phone: (503) 413-4134

    Fax: (503) 413-1895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97030)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. ELISE JAN FULSANG (MD)?
NPI 1952305385 is assigned to DR. ELISE JAN FULSANG (MD) under the national enumeration system.
Is DR. ELISE JAN FULSANG (MD)'s NPI currently valid?
The extract we use shows DR. ELISE JAN FULSANG (MD) as active.
What does DR. ELISE JAN FULSANG (MD) treat or focus on?
Patients typically see DR. ELISE JAN FULSANG (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ELISE JAN FULSANG (MD)?
The snapshot lists Gresham, Oregon for DR. ELISE JAN FULSANG (MD); download NPPES for the complete set.
Is DR. ELISE JAN FULSANG (MD) a real provider?
This page reflects official NPPES data for NPI 1952305385. Always confirm identity and privileges with the practice and licensing boards.

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