Individual
ELIZABETH S AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
916 KOALA AVE, OMAK, WA 98841-9576
(509) 826-1800
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163480
L&I
WA
05
—
1316973654
—
WA
01
—
314884
L&I POST 7/21/13
WA
01
—
P01301068
RR MEDICARE
WA
Enumeration date
06/25/2006
Last updated
07/25/2022
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