Individual
ELIZABETH SIEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 240-8751
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179971
OR
Other
Enumeration date
05/15/2015
Last updated
04/15/2020
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