Individual
MS. ELIZABETH BURTON MATUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 783-3293
(541) 783-3273
Mailing address
PO BOX 277, BIEBER, CA 96009-0277
(530) 294-5241
(530) 294-5241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
094006651N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276266
—
OR
Enumeration date
10/06/2005
Last updated
03/18/2016
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