Nicole Elledge

OTR | Occupational Therapist | 24+ years Exp


  3900 Kruse Way Pl, Lake Oswego
     Oregon, 97035-2512
  503-607-0566    Maps & Directions
Nicole Elledge is a Lake Oswego, Oregon based therapist with 24 years of experience in Occupational Therapy. She completed her graduation in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Elledge is 1060547 for Occupational Therapy in Oregon. Her current practice location is 3900 Kruse Way Pl, Lake Oswego. Patients can reach her at 503-607-0566. Nicole Elledge is OTR in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1003075417.
Nicole Elledge provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Nicole Elledge speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Nicole Elledge
Specialization: Occupational Therapy
Gender:Female
Credentials: OTR
Experience: 24+ years
Medical School Attended:Other
Graduation Year:2002
Accepts Medicare Assignment:Yes
Practice Address:3900 Kruse Way Pl, Lake Oswego,
Oregon, 97035-2512
Phone:503-607-0566
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8820241805
Enrollment ID: I20121227000471
NPI Number: 1003075417
NPI Enumeration Date: 02 Jun, 2008
NPI Last Update On: 06 May, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Elledge are as mentioned below.
License NumberSpecializationStateStatus
1060547Occupational Therapy OregonPrimary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nicole Elledge is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Premere Rehab Llc (2567434764)57
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Nicole Elledge
23532 Sw Stonehaven St,
Sherwood, Oregon
Zip: 97140-7076
Phone Number: 971-732-2991
Patients can reach Nicole Elledge at 3900 Kruse Way Pl, Lake Oswego, Oregon or can call to book an appointment on 503-607-0566.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.