Individual
DR. ELIZABETH ANNE HESKETT BOURESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
734 ELM ST SW, ALBANY, OR 97321-1934
(541) 812-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD203466
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082623
—
OR
Enumeration date
02/13/2006
Last updated
06/20/2023
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