Individual
MRS. MARYANN ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24485 BRIDGE CT, PHILOMATH, OR 97370-9080
(541) 609-9012
Mailing address
24485 BRIDGE CT, PHILOMATH, OR 97370-9080
(541) 609-9012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200841559RN
OR
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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