Individual
ELIZABETH RENEE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 SW 5TH ST, GRANTS PASS, OR 97526-2401
(541) 601-8939
Mailing address
1016 NE FALL DR, GRANTS PASS, OR 97526-1664
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15759
OR
Other
Enumeration date
06/02/2014
Last updated
04/08/2026
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