Provider Demographics
NPI:1700457447
Name:DUFOUR-COLLINS, ELYSE F (FNP)
Entity type:Individual
Prefix:
First Name:ELYSE
Middle Name:F
Last Name:DUFOUR-COLLINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ELYSE
Other - Middle Name:F
Other - Last Name:DUFOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1130 NW 22ND AVENUE, STE 640
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210
Mailing Address - Country:US
Mailing Address - Phone:503-229-7976
Mailing Address - Fax:503-274-4867
Practice Address - Street 1:4473 PAHEE ST STE L
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2037
Practice Address - Country:US
Practice Address - Phone:808-632-0200
Practice Address - Fax:808-632-0201
Is Sole Proprietor?:No
Enumeration Date:2021-07-04
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily