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Individual

ELIZABETH RANAE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5151014422
MI
208000000X
Pediatrics Physician
Primary
DO214672
OR

Other

Enumeration date
04/09/2020
Last updated
08/03/2023
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