Individual
DR. DOUGLAS D. ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2525 12TH ST SE STE 240250, SALEM, OR 97302-2281
(971) 701-9058
(833) 944-1930
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO18507
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058979
—
OR
Enumeration date
12/19/2006
Last updated
03/30/2021
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