Individual
ELIZABETH BRIERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, CPM
Contact information
Practice address
24939 JEFFERSON ROAD, ELMIRA, OR 97437
(541) 968-1626
Mailing address
PO BOX 531, ELMIRA, OR 97437-0531
(541) 968-1626
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-1000046
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083209
—
OR
Enumeration date
02/21/2007
Last updated
07/08/2007
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