Individual
DR. ELIZABETH CAROL POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
603 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1168
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PARKWAY, ENTERPRISE, OR 97828-1168
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5966021
BLUE CROSS PROVIDER
OR
01
—
J0549 07
PACIFIC SOURCE PROVIDER
OR
01
—
P00371358
MEDICARE RAILROAD
—
Enumeration date
07/10/2006
Last updated
08/08/2012
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