Individual
MISTY R ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
3882 RIO VISTA WAY, KLAMATH FALLS, OR 97603-7727
(541) 891-9861
Mailing address
3882 RIO VISTA WAY, KLAMATH FALLS, OR 97603-7727
(541) 891-9861
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000110298
OR
Other
Enumeration date
01/09/2024
Last updated
04/08/2024
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