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Individual

ELIZABETH BURTON PEDIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(360) 828-5396
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD29289
OR
207LP3000X
Pediatric Anesthesiology Physician
MD29289
OR

Other

Enumeration date
05/18/2007
Last updated
12/13/2021
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