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Individual

LINELL ELIZABETH WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
930 SW ABBEY ST STE A, NEWPORT, OR 97365-4820
(541) 265-8816
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA00434
OR
363A00000X
Physician Assistant
Primary
PA00434
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168740
OR
Enumeration date
07/19/2006
Last updated
07/27/2022
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