Individual
ELIZABETH ANNE STRUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
25045 DUNHAM AVE, VENETA, OR 97487-9791
(541) 935-2035
(541) 935-6608
Mailing address
PO BOX 819, VENETA, OR 97487-0819
(541) 935-2035
(541) 935-6608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA01419
OR
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427210
—
OR
Enumeration date
11/24/2008
Last updated
12/07/2012
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