Individual
ELIZABETH S SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 N PROVIDENCE DR STE 120, NEWBERG, OR 97132-7582
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO211616
OR
Other
Enumeration date
04/24/2017
Last updated
02/09/2023
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