Individual
KATIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202214341CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
42473
ID
Other
Enumeration date
09/19/2017
Last updated
10/13/2022
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