Organization
ELYSIAN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE FEY (OWNER)
(541) 507-4141
Entity
Organization
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 507-4141
Mailing address
1630 WILLIAMS HWY, STE 39, GRANTS PASS, OR 97527-5660
(541) 507-4141
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201604728NP
OR
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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