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Individual

DR. ELIZABETH M JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16528 E DESMET CT STE 3100, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35087520
OH
207Q00000X
Family Medicine Physician
Primary
MD00048508
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35087520
OHIO MEDICAL LICENSE
OH
Enumeration date
11/07/2006
Last updated
03/01/2021
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